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APRIL 11, 2025

Prep tips for CMS, PBM and state board visits

Navigating the Next Wave of Pharmacy Audits

By Gina Shaw
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Lucas W. Morgan, JD

Audits by pharmacy benefit managers (PBMs), state boards of pharmacy (BOPs) and the Centers for Medicare & Medicaid Services (CMS) likely rank among the biggest stressors for hospital pharmacies, and that’s not likely to change in 2025.

Don’t expect PBMs to slow down their audit discrepancy investigations this year, Lucas W. Morgan, JD, a partner in the healthcare and life sciences litigation group at Frier Levitt, said during a recent webinar