November 17, 2017

The IG Audit Division has issued an informational report on the role of pharmacy benefit managers in delivering Medicaid and CHIP pharmacy benefits to managed care members.

PBMs are a central element within a complex system involving multiple functions and components necessary to deliver pharmacy services to Medicaid and CHIP managed care members. This report describes and discusses these functions and components, responsibilities for related performance and oversight, and how the functions and components interact with each other to deliver pharmacy services.

This and all other Audit reports can be found here.