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Audits

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Audits

Our PBM auditing expertise offers extensive pharmacy program monitoring, assurance of accurate program implementation, and a comprehensive analysis of PBM contract adherence. Full-scope and a la carte audit options are available to give you the flexibility to choose the appropriate bundle of audit services that meet your unique needs.

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$14M

Audit recoveries last five years

1000+

Audits over last two years

18%

Average audits with recoveries

Audit Types

Audit TypeCommercialMedicareMedicaid
Benefit Validation Audit
Electronic Audit of Minimum Rebate Guarantees
Eligibility Audit
Financial/Pricing Audit
Fraud, Waste & Abuse Audit
Network Transparency Validation Audit
Operational Compliance
Onsite Rebate Audit
Performance Guarantee Audit
PDE Audit
Pre-/Post-Implementation Audits
Prior Authorization Audit
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“We were able to realize 10:1 ROI on the targeted audits and reviews that PSG performed on our behalf.”

Current Health Plan Client

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