NEW YORK — Frier Levitt Partner Harini Bupathi recently presented on what's driving PBM audits this year—and what pharmacies can do now to stay compliant and confident in the months ahead.
To help unpack what’s happening now—and what’s next— Bupathi, has provided a mid-year update on PBM audits, offering timely insights on the evolving pharmacy-PBM dynamic.
“While scrutiny of PBMs continues to intensify, they remain aggressive in auditing pharmacies and closely monitoring network participation. Pharmacies should stay current on audit trends and areas of heightened scrutiny to assess their own practices and ensure they are prepared if a PBM audit occurs. Understanding common PBM audit triggers is a key step in mitigating risk and reducing the likelihood of becoming an audit target,” said Bupathi.
• Session Highlights: PBM Audit Activity on the Rise: What 2025 trends reveal about enforcement priorities and PBM behavior.
• Common Triggers and Red Flags: Insights into what’s prompting audits—and how pharmacies are being targeted.
• Legal & Policy Implications: Real-world strategies pharmacies are using to defend themselves.
• Looking Ahead: Expected regulatory developments and how pharmacies are bracing for what's next.
