Auditing Services

PBM Audits & Reviews

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A comprehensive PBM audit is an important tool to truly understand how your prescription drug plan is doing today and how to best manage it for the future. Lowering pharmacy costs requires extensive knowledge to decipher the ambiguity and complexity in pharmacy contracts, PBM systems, formularies, claims and plan design. 

Through a comprehensive PBM audit, plans can become informed and active consumers, understanding drug benefit design, evaluating the efficiency of drug utilization, monitoring the performance of their PBM and assessing if the costs charged and services provided were in accordance to the terms of the contract.

When Was Your Last Audit?

PBM contracts that have not been reviewed in the last 12 months are typically not up to date and not achieving market improvements. Audits can save money by identifying incorrect pricing, claims processing errors, as well as inaccurate plan design and clinical program set-up.

ARMSRx performs the following types of audits:
 

  • PBM Contract Review
  • Financial Guarantees
  • Administrative Fees
  • Pharmacy Claim Payments
  • Performance Guarantees
  • Rebate Guarantees
  • Implementation Audit
  • Formulary and Clinical
  • Benefit Plan Design
  • Eligibility
  • And more

At ARMSRx, we are experts in handling PBM audits Contact Us Today to prioritize your next PBM audit.

“Highly recommended!”

“I have had a great experience with ARMSRX. Response is over the top. Highly recommended!"

Benefit Advisor

ARMSRx
2019-02-26T18:20:44-05:00

Benefit Advisor

“I have had a great experience with ARMSRX. Response is over the top. Highly recommended!"

“…Really nice people to work with”

"I really appreciate the patience of your team as they explain things to me regarding Rx. They are also just really nice people to work with."

Benefit Advisor

ARMSRx
2018-10-27T03:10:44-04:00

Benefit Advisor

"I really appreciate the patience of your team as they explain things to me regarding Rx. They are also just really nice people to work with."

“Strong support and immediate response…”

"Excellent folks to work with. Strong support and immediate response to any questions we ask."

Benefit Advisor

ARMSRx
2019-02-26T18:20:10-05:00

Benefit Advisor

"Excellent folks to work with. Strong support and immediate response to any questions we ask."
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ARMSRx

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