Yes. However, doing so can be challenging. Primarily, this is because PBMs like Novitas are not subject to federal regulation. Thus, all regulation of PBMs comes from the state level. And while some states impose regulations on PBMs, many do not. Thus, these entities are used to operating according to their own terms; they make demands and expect pharmacies to fall in line. For example, if a pharmacy doesn't agree with the result of an audit, Novitas may ignore their complaints, assuming that the pharmacy will not pursue legal action. Of course, pharmacies can attempt to negotiate with Novitas for the removal or reduction of sanctions. Pharmacies also have the right to challenge the outcome of the audit in court. However, Novitas and its team of lawyers regularly occupy this space and are familiar with the laws and regulations governing the industry. Thus, it is crucial that you also have lawyers working for you who are equally knowledgeable.