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Welcome to the Comprehensive Audit Prevention Services website! CAPS was started to provide better services to assist pharmacies with audits from Pharmacy Benefit Managers and the organizations they contract to perform audits.

We feel it is important to educate pharmacies with each service provided to prevent future encounters with audits.  Most audits occur because of behavior or business practices that place pharmacies in a position to be scrutinized. Because of the necessity for CAPS to be self sufficient and autonomous to other organizations it will be able to fully represent the independent store to its fullest capacity.

CAPS services are available solely to American Pharmacy Cooperative, Inc. (APCI) member pharmacies.

CAPS Mission

To provide independent pharmacies with the knowledge and tools to see audits for the purpose they serve, while minimizing the impact of recoverable monies by health plans. Pharmacy Benefit Managers (PBMs) and processors have a responsibility to their health plans to manage their complete program costs. The Centers for Medicare and Medicaid are included among these as the largest, especially with the growing increase in drug costs. Pharmacy audits are a means to maintain the PBM/processors cost and value to those plans and ensure or prevent fraud, waste, and abuse.


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