PBM Audit Services

It's not surprising that PBMs make mistakes when you consider that many can manage 50 or more major drug manufacturers, oversee pharmacy networks of over 50,000 stores and process millions of claims a day. Add to that the fact that many own one or more mail order facilities and offer customer service phones 24/7, and the need for PBM Audit Services from BancorpSouth becomes apparent. Typically, we can recapture 3% of pharmacy costs through an audit.

Each audit verifies:

• Correct discounts/fees were applied
• Value of MAC generic pricing guarantees
• Correct plan design features were adhered to
• Employees were charged correctly