Best Practices for Responding to a Documentation Request from a PBM

Best Practices for Responding to a Documentation Request from a PBM If a pharmacy doesn’t handle a documentation request from a PBM appropriately, things can go downhill very quickly. Knowing your rights is going to be key in keeping things from turning into an overpayment demand or, even worse, termination of your provider agreement. This presentation will discuss best practices for responding to a PBM documentation request.

The attendee will be able to:

• List steps that should be taken in responding to a PBM’s additional documentation request
• Describe key points that must be addressed when responding to a PBM
• Identify risk areas and take appropriate corrective action