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Update on State and Federal Pharmacy Regulations

November 14-15, 2017
  • Chicago, IL

Now in its 6th Year, CBI’s Pharmacy Benefit Compliance Congress returns with robust content focusing on the complex nuances associated with pharmacy benefit compliance. Join your colleagues from health plans, PBMs and pharmacies to discuss the current regulations and how companies are organizing their compliance programs to mitigate risk.

Key Topics to be Addressed:

  • Understand How Customer Service Impacts Regulatory Compliance
  • Implement a Pharmacy Credentialing Program that is in Line with CMS Requirements 42 CFR 455 Subpart B
  • Examine the Compliance Considerations for Negotiating a
    Rebate Contract with the PBMs
  • Review HIPAA Laws in Relation to PDMPs and Discuss Various Ways that Health Plans or Insurers Can Access PDMPs
  • Discuss the History and Current Applicability of Laws Impacting the Pharmacy Benefit Between the Health Plan and the PBM Partner
    at Both the State and Federal Level
  • Define Laws Related to Pharmacy Benefit Program Operations, Pharmacy Network Management and Administration and Payment
  • Navigate the Multi-Dimensional Complexity of a CMS CDAG Audit
  • Explore Maximum Allowable Cost (MAC) Pricing Restrictions
    and Requirements (MAC legislation)
  • Delve into Best Practices for Implementing Fraud,
    Waste and Abuse Programs

Previous Attendee Acclaim:

The conference was very informative, with speakers knowledgeable in a wide range of industry topics.

Director Pharmacy Management, UnitedHealthcare

Fantastic practical advice and an unparalleled opportunity to network.

Anonymous

Useful to meet and talk with different PBMs,
payers and pharmacies. Tips on managing CMS audits,
proactive and operations are valuable.

Vice President, Internal Audit, SCAN Health Plan