Pharmacy Audits in 2026: PBM, DSCSA, and the New Wave of Government Reviews
- 0:00 Why 2026 Feels Different
- 8:00 PBM Scrutiny Gets Sharper
- 20:00 DSCSA Proof Must Travel
Practical shifts you can apply this week
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Identify Likely Audit Triggers
Spot the patterns most likely to draw PBM, DSCSA, and government scrutiny in 2026.
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Compare Evidence Standards
See how payer, trading-partner, and regulator reviews ask for proof in different ways.
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Diagnose Workflow Gaps
Find the missing links that can turn a routine review into repayment, sanctions, or referral risk.
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Design Cross-Functional Response Process
Build a response flow that keeps facts straight, deadlines visible, and escalation disciplined.
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Decide 90-Day Priorities
Leave with a short list of remediation actions to sequence first, not a sprawling cleanup plan.
What we'll cover
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0:00
Why 2026 Feels Different
Why PBM, DSCSA, and government pressures now intersect and make small record gaps costlier.
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8:00
PBM Scrutiny Gets Sharper
Recoupment trends, refill and reversal patterns, and the documentation traps that shrink appeal options.
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20:00
DSCSA Proof Must Travel
What mature traceability looks like when transaction data must move across systems and partners.
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31:00
Government Reviews Change Shape
How records, interviews, and electronic data are tested together by CMS, MEDIC, OIG, DEA, and states.
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41:00
Documents That Decide Outcomes
The dispense-to-claim-to-inventory chain, plus prior auth, shipping, returns, timestamps, and version control.
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51:00
Run A Clean Response
Scope control, request tracking, cross-functional roles, and when to push back versus produce.
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57:00
Your Next 90 Days
A practical close: run one mock audit, assign owners to the top five fixes, then open Q&A.
Questions people ask before registering
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It is built for working professionals across pharmacy operations, compliance, legal, revenue cycle, and leadership. If audits touch your workflow, this will be relevant.
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No. We assume you know pharmacy operations, but the session stays practical and explains where the standards diverge. You will not need a binder full of acronyms to keep up.
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Most webinar programs provide a replay to registered attendees after the session. Check your registration details for the exact access terms.
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No. It is an educational session focused on audit readiness, documentation, and response process design. For legal advice on a live matter, you should consult counsel.
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This landing page does not indicate CE or a completion certificate. If either is offered, the registration or follow-up materials should spell out the requirements.
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You will be able to run a 90-day mock audit against one high-risk workflow and assign owners to the top fixes. Think of it as less theory, more working agenda.