The Last Drugstore

How pharmacy closures impact underserved communities

Shot of shelves stocked with various medicinal products in a pharmacy

Pharmacies Face Extra Audit Burdens That Threaten Their Existence

KHN Original

Pharmacy benefit managers have curtailed in-person audits of pharmacy claims during the pandemic, switching to virtual audits done by computer. That has markedly increased the number of claims they can review — and the chances for payment denials — squeezing pharmacies and bringing in more cash for the benefit companies.