Pricing and Plan Design Audit

Our Pricing and Plan Design Audit includes the verification of contract pricing for Retail, Mail and Specialty drugs as well as a review for compliance with:

Copay/Coinsurance
Tier assignments
Formulary
Refill to soon
Excluded Drugs
Days supply limits
Clinical Edits
Quantity limits
Age limits
Gender limits
Step Therapies

Deliverables include an executive summary, specific findings report and a formal presentation of results.