Risk, Regulatory & Compliance

Risk, Regulatory & Compliance Solutions for Pharmacy

We help clients navigate the complex regulatory and compliance environment in which they operate, addressing their most high risk areas of operations and compliance including, Most Favored Nation (MFN) pricing, manufacturer coupon use, promotional gift cards, narrowing networks and oversight of downstream entities.

We work with clients to address their most high risk areas of disputes and compliance including: most favored nation (MFN) pricing; coupon / gift card use; narrowing networks, FDR oversight, specialty and compounding pharmacy matters.  Guidehouse’s team of truly best-in-class experts includes pharmacists, data analysts, statisticians, economists, industry management and payor/PBM experts. Our services include:

  • Forensic Data Analytics
  •  System/Software Reviews
  • Operational Compliance
  • Mock Audits/Transactional Audits
  • Corrective Action Plan Projects / IVA (e.g. Medicare Part D)
  • Risk Assessment
  • Monitoring / IRO

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