The pricing structure for the pharmaceuticals paid for by employer-sponsored health plans often includes rebates and discounts. They can be deducted from the prices paid or credited later. In either case, tracking them across thousands of transactions is challenging, and an Rx audit can help. With their sophisticated systems, claim auditors can review thousands of transactions for accuracy and report on…

The modern pharmaceutical industry, with billions in profits on the line, strongly advocates for its self-interests. The industry's investment in research and development is cited as the reason for high costs, but profits are also built into the equation. An Rx audit is one defense against skyrocketing prices for self-funded healthcare plans. Companies routinely offer rebates and discounts to hold market…