Independent pharmacy · PBM audit defense

Your PBM runs this math. Run it first.

Every audit cycle starts with the same arithmetic: what you dispensed against what you actually bought, and every claim against the plan's own rules. PharmaSP runs it on your data and shows its work on every row.

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Deterministic math No black box Immutable audit log

Reconcile / Sample month

1,794 rows

At risk

-$184,620

Σ negative Dif

Critical NDCs

138

Act now

Reconciled

61%

1,094 rows clean

Insurance All Brand All Sorted impact ↑

Illustrative reconciliation results for a sample month, all insurers, sorted by dollar impact, worst first.
NDC	Drug name	Disp	Ordered	Dif	Dif %	Impact
00000010101	TYLENOL 500MG CAPLET	1,240	860	-380	-30.6%	-$6,412
00000010201	IBUPROFEN 200MG TAB	2,180	1,610	-570	-26.1%	-$4,968
00000010301	LORATADINE 10MG TAB	960	540	-420	-43.8%	-$3,885
00000010401	ACETAMINOPHEN 325MG TAB	1,450	1,020	-430	-29.7%	-$3,214
00000010501	CETIRIZINE 10MG TAB	720	410	-310	-43.1%	-$2,790
00000010601	OMEPRAZOLE DR 20MG CAP	640	455	-185	-28.9%	-$2,342
00000010701	NAPROXEN SODIUM 220MG TAB	580	390	-190	-32.8%	-$1,867
00000010801	ASPIRIN 81MG EC TAB	1,120	760	-360	-32.1%	-$1,404
00000010901	DIPHENHYDRAMINE 25MG CAP	410	260	-150	-36.6%	-$986
00000011001	FAMOTIDINE 20MG TAB	300	0	-300	-100.0%	—

138 critical · 0 warnings · 1 skipped

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Estimate

At Scripts dispensed per month scripts a month, a 3.5% discrepancy rate on a $38 average claim is

4,000 × 3.5% × $38

$5,320

Est. recoverable per month

Industry estimate. Your own numbers replace it on the first run.

Your PBM runs this math. Run it first.

Estimate what a month of reconciliation returns