This course covers 5 key areas important to setting a foundation in the understanding of PBM audits.
✓ The reasons a plan sponsor would request an audit of their PBM and the types of audits commonly used
✓ Common contractual language that can limit the plan sponsor's ability to conduct an audit
✓ The key elements of PBM audits -- drug spend, administrative fees, rebates, plan design, eligibility, performance guarantees, and savings guarantees
✓ The steps in an audit process, the time range needed to complete it, and the documentation required
✓ Best practices for conducting an audit of a PBM