Pharmacy

Pharmaceutical inventory audits are performed to validate that items supplied to Medicaid beneficiaries are supported by purchase invoices, as required by Medicaid policy.

 In FY 2018, 22 pharmacy providers agreed to repay the Medicaid program a total of $3.9 million as a result of pharmaceutical inventory audits.

 An additional 28 pharmacy provider cases are pending appeal decisions, litigation or repayment terms negotiation. These cases represent approximately $14.7 million.