PSRx Advisors provides pharmacy benefits
management consulting & audit services to
drive solutions for unions, public employee
groups and state & federal programs.
Need a Data Validation Contractor?
Click here for CMA Data Validation
Readiness & Support.
Ongoing monitoring of Medicare Part D programs is required by the Centers for Medicare and Medicaid Services (CMS), but a thorough understanding of the performance of your subcontracted PBM entity can prove challenging.
PSRx Advisors offers advanced PBM oversight support for Medicare Part D compliance and financial management. Our advanced strategies and tools accomplish a sophisticated, comprehensive PBM review and assessment and support an effective compliance strategy.
- Financial audits and benchmarking
- Assurance that Program financial performance is sound
- Advanced Plan design audits
- Assurance that the PDE is built correctly
- Full PDE audits
- Confidence in operational and Plan compliance efforts
- Fraud Waste and Abuse (FWA) monitoring tools
- Medicare Parts C & D Data Validation Readiness & Support
- Independent monitoring of claims activity
- Eligibility review
- Confidence in the validity of eligible participants
- Rebate assessment
- Assurance in rebate appropriateness
- CMS bid submission support and cost forecasting
- Accurate cost forecasting and streamlined bid submission process
PSRx Advisors provides the assistance you need to optimize your Medicare Part D program both clinically and financially.
