Myers and Stauffer has extensive national experience performing pharmacy program integrity audits and consulting projects for the Medicare and Medicaid programs.Our governmental pharmacy program integrity expertise includes:
We have reviewed pharmacy benefit plans of all sizes and in all geographic regions across the country. Our experience ranges from benefit plans with 100 members to benefit plans with over a million members and includes auditing the benefit management practices of the largest Pharmacy Benefit Managers (PBMs) in the industry. Our experience provides an extensive understanding of the complexities of the pharmacy benefit industry and of the business practices of plan sponsors and their PBMs.
Our pharmacy benefit program integrity experience includes procedures designed to identify and deter fraud, waste and abuse within pharmacy benefit programs. Whether you are interested in assessing the adequacy of your program integrity policies and procedures or performing targeted program integrity audits, the depth of our pharmacy benefit audit experience will help you accomplish your goals.