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.

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