Managed Care Pharmacy Encounters Paid to Omnicare Pharmacy

Omnicare did not consistently comply with dispensing requirements, resulting in an overall overpayment of $2,275.44.

One claim with a prescription order that was not signed by the prescriber, resulting in an overpayment of $287.26.

Three claims for medications dispensed more than one year after the prescription issuance date, resulting in an overpayment of $539.65.

Three claims missing confirmation of medication delivery, resulting in an overpayment of $1,448.53.

One claim with a dispensing label containing inaccurate instructions for use.

Forty-one claims with incorrect prescription issuance dates.

Improve dispensing processes to verify each medication dispensed has (a) a signed, current prescription order and (b) documentation of medication delivery for submitted claims.

Implement a process to verify dispensing labels contain the correct instructions for use.

Update claim submission process to verify it submits the correct prescription issuance date for each prescription.