Rick's Discount Drugs owner and APCI member Scott Cornelius review prescription files in advance of a PBM audit

Pharmacy Audit Assistance for Independent Pharmacies | APCI CAPS

Pharmacy audit assistance for independent pharmacies

Protecting Your Pharmacy from PBM Audit Risks
APCI’s CAPS service provides pharmacy audit assistance to help independent pharmacies respond to PBM audits, reduce financial risk, and strengthen compliance – exclusively for APCI Choice members.

APCI provides pharmacy audit assistance through its CAPS program, helping independent pharmacies respond to PBM audits, reduce risk, and protect revenue.

Pharmacy benefit manager (PBM) audits have grown more aggressive and more costly. APCI’s CAPS (Comprehensive Audit Prevention Service) program is here to help APCI Choice member pharmacies defend their businesses with confidence and clarity.

Pharmacy Audit Assistance
That Works for You

APCI Comprehensive Audit Prevention Services (CAPS) logo

Our team works directly with members to:

  • Analyze and respond to PBM audit notices and findings
  • Identify and address potential compliance vulnerabilities
  • Recommend documentation best practices to strengthen audit readiness
  • Support efforts to dispute unjust audit recoupments

Other audit support options are available in the marketplace, but CAPS stands apart as the most pharmacy-focused and cost-effective solution available today. Our team is committed to supporting you throughout the audit process.

CAPS:
A Trusted Resource

CAPS gives APCI Choice members a lifeline during audits, but our work starts long before a notice arrives. We proactively educate our members on best practices, provide guidance on documentation processes, and assist in establishing procedures that help reduce potential audit recoupments.

Our hands-on approach helps pharmacies reduce the risk of costly recoupments and stay focused on delivering patient care.

What Members Are
Saying

Any time I get an audit, I always work with CAPS.

Scott C., Alabama

Key
Details

  • CAPS supports desk audits, on-site audits, and claims audits of retail pharmacies initiated by PBMs and third-party payers
  • CAPS staff assist members in developing and submitting appeal responses to reduce or eliminate proposed recoupments
  • CAPS services are included as a benefit of APCI Choice membership

Take the Next
Step

Don’t wait until an audit notice arrives! Partner with APCI and take advantage of the CAPS program to safeguard your pharmacy. If you’re not already an APCI Choice member, now is the time to explore how this enhanced membership can bring you greater peace of mind and proactive protection.

Call (800) 532-2724|Email sales@apcinet.com