Is the PBM expected to verify the credentials of all pharmacies in its network?
Response: Yes. With this new mandatory standard, an organization is required to have a policy and/or documented procedure for verifying its network pharmacy’s credentials. The verification must include facility state licensure, DEA registration, and professional liability insurance. The organization must also verify the determination of the absence of government debarment and the ability to transmit transactions electronically.
Related Questions
- I cannot use the benefit card because my insurers in-network pharmacies are not in the WellDyne network of pharmacies. How should I submit my claims?
- How can I verify a physical therapist’s licensing credentials in the state of Massachusetts?
- Is the PBM expected to verify the credentials of all pharmacies in its network?