Novitas audits are conducted to ensure that pharmacies are not improperly billing the insurance company. Thus, if substantial violations are uncovered during an audit, Novitas may demand a recoupment or could even terminate the contract with the pharmacy. However, if auditors discover anything that leads them to believe a pharmacy is operating in violation of the law, the company may refer the case to state or federal law enforcement agencies. This opens the door to much more severe consequences. As a result, any pharmacy subject to a Novitas audit should not delay in protecting their interests by reaching out to a knowledgeable PBM audit attorney.