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SERVICES Retrospective PBM Audits PBM Contract Review and Consulting Fraud, Waste & Abuse Identification Prospective PBM Audits Desk & On-Site Pharmacy Audits Litigation Recovery Expert Witness Testimony

Our prospective audits are a unique process that puts the Client in a position of control, eliminating the long arduous process of pursuing PBM to recover overpayments. Our proprietary software can analyze current claims and provide overpayment results within minutes of upload.

The benefits of a prospective audit are many, including the following:

• 5% to 8% of savings on Rx spend on each billing cycle
• No waiting for PBM recoveries to realize savings
• Accurate monitoring of plan payment

We recommend that the plan sponsor consider both prospective and retrospective audit services, since these processes are synergistic in identifying the claims patterns that can lead to substantial cost savings and compelling recoveries.