Palmettos PBM audits are high-risk scenarios for pharmacies. While the stated purpose of a Palmetto audit is to ensure that pharmacies have not improperly billed the insurance company, in reality, audits are also a profit-generating tool for PBMs. This is because any alleged violation may justify Palmetto withholding funds that would otherwise need to be distributed to the pharmacy. If Palmettos determines that the uncovered violations were severe enough, it may even seek contract termination. Additionally, Palmetto may refer violations to state or federal law enforcement agencies in the event they discover evidence of what they believe to be healthcare fraud. Given the high stake involved, any pharmacy subject to a Palmetto audit should not delay in protecting their interests by reaching out to a knowledgeable PBM audit attorney at Oberheiden, P.C.