Skip to main content

Case study

Advanced Pharmacy Audit Services

Discover how a health plan saved more than $1 million.

In this case study, a west coast health plan with more than 285,000 lives enrolled in Optum Rx® Advanced Pharmacy Audit Services to prevent and detect pharmacy fraud and recover lost dollars.

Through our audit services, this health plan:

  • Increased claims and pharmacy oversight.
  • Prevented, detected and recovered financial losses.
  • Avoided dispensing errors.

The results included saving more than $1 million. 

Related healthcare insights

View all
What Plan Sponsors Need to Know About WAC Pricing Shifts

Article

What plan sponsors need to know about WAC pricing shifts

The move to Maximum Fair Prices for popular drugs will trigger new economic considerations for plan sponsors.

A Simpler GLP-1, Plus Big-Market Launches [Report]

Report

A simpler GLP-1, plus big-market launches

This edition of Notable New Drugs includes another oral GLP-1, the first preventative treatment for COVID-19 and the most effective oral drug for plaque psoriasis.

What’s Next for AI in Pharmacy: An Interview

Article

What’s next for AI in pharmacy?

Two AI experts share insights on how we’re using AI and advanced technology to improve everything from trend prediction to member services.