The Pharmacy Benefit Audit Playbook
Posted on March 18, 2026
Audits Every Payer Should Be Considering and How PSG Can Help
Pharmacy benefit audits should go beyond checking a compliance box. When approached strategically, they help ensure accurate payment, reinforce contract intent, and enable more confident decision making across the pharmacy benefit.
How can you use audits as a strategic lever? The Pharmacy Benefit Audit Playbook was created to help answer this question. Drawing on our deep audit and pharmacy benefit expertise, the playbook explains how well-designed audits can create clarity around performance, strengthen accountability with vendor partners, and support both financial and clinical goals. It reflects the practical approach we use to translate complex contracts and data into insight you can act on.
Gain Insight Into Key Pharmacy Benefit Audits
- Financial Guarantees (Pricing and Minimum Rebate Guarantees) Audit
- Alternative (Non-Traditional) Pricing Model Audit
- Drug Manufacturer Rebates Audit
- Plan Design Audit
- Utilization Management (UM) and Clinical Review Audit
Download the playbook today to see how a strategic audit approach can help you move beyond compliance and use audits as a driver of better outcomes.
