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PRO PHARMA's Consulting Services include benefit auditing and management; performance reviews; negotiations with plans, PBMs and providers; and the development and implementation of cost reduction programs. We are pleased to present our Audit Service Portfolio below for your review:


Financial & Performance Audits
  • Detailed Financial Analysis of Pharmacy and Medical Encounter Claims
  • Eligibility Audit
  • Audit of Claims for Validity, Pricing, AWP, etc.
  • Rule-Based Benefit Simulation of Benefit Design
  • Financial Drivers of the Benefit
  • Questionable/Abuse Audits
  • Reconciliation
  • MMA Part D

Rebate Analysis
  • Baseline Audit of Rebate Claims
  • Benefit Design Scenarios vs. Impact on Rebate/ Net Cost Optimization
  • Net Cost vs. Rebate Optimization Modeling
  • PBM / Manufacturer Contract Review (if available and applicable)
  • Drug Utilization Review Audits
  • Coordination of Benefits

Audits Include BUT ARE NOT LIMITED TO:
  • Financial
  • Performance
  • Rebate Analysis
  • Drug utilization Review
  • Coordination of Benefits

Pro Pharma's Consulting Services include benefit auditing and management; perfor-mance reviews; negotiations with plans, PBMs and providers; and the development and implementation of cost reduction programs. We are pleased to present our Audit Service Portfolio below for your review:

The Financial, Performance & Claims Audits Utilizes:


Information Sheet



To Learn More:
Phone:(888) 701-5438
info@prodataanalytics.net