Aetna Awards National Pharmacy Audit Contract to Pharm/DUR, Inc.
Pharm/DUR was awarded the National contract after completion of a successful demonstration project in the Northeast region.
PHILADELPHIA, PA (PRWEB) March 18, 2004
Aetna has engaged the services of Pharm/DUR, Inc. to administer its on-site audit program of pharmacy providers in AetnaÂ’s network to identify possible areas of claim overpayment and potential recovery. Pharm/DUR was awarded the National contract after completion of a successful demonstration project in the Northeast region. The award is the industryÂ’s largest independent pharmacy audit contract with a potential of 9000 actual on-site reviews. This rigorous onsite audit program is designed to complement and enhance Aetna Pharmacy ManagementÂ’s internal desk audit program. Double digit increases in prescription drug costs and the complexity of program designs offered by all health plans create a potential for claim submission errors and overpayments within the pharmaceutical industry. Aetna is committed to a sound pharmacy benefit, which includes an on-site audit component to assist in maintaining program integrity.
About Pharm/Dur, Inc.
Pharm/DUR, Inc. is one of the largest independent pharmacy audit firms in the nation, having conducted in excess of 25,000 actual In Store audits in addition to numerous Desk Audits and Program Reviews. The AudiTrack proprietary software programs assist health plans in the discovery of recoverable pharmacy claims and clinical/financial decision support based on detailed pharmacy claims examination. Pharm/DUR has a comprehensive portfolio of services that offer the opportunity to maximize the effectiveness of a prescription drug program and improve the financial performance of benefit dollars, including claims review, provider audits, PBM and rebate audits, profiling and identification of potential fraud/abuse. For more information about Pharm/DURÂ’s programs and services contact Anthony Spay at 1-800-PHARMDUR or at www. pharmdur. com
This press release was issued through GroupWeb Emailwire. com. For more information on press release distribution, visit http://www. emailwire. com (http://www. emailwire. com)
