Pharmacy & Healthcare

Our Pharmacy & Healthcare Solutions practice specializes in formulary and pharmacy claim reviews as well as pharmacy-focused mental health and substance use disorder parity reviews for state and federal regulators.

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What We Offer

  • In-depth clinical and formulary reviews to evaluate compliance with federal and state regulatory requirements, including the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), including non-discrimination reviews, and the Affordable Care Act
  • Pharmacy benefit manager reviews
  • Pharmacy-focused regulatory training

For More Information 855-246-0815

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Expertise

Our Team is highly experienced performing both targeted and full scope examinations of companies of varying sizes within the health and managed care insurance sectors. RRC places a great deal of emphasis on having our team members secure relevant credentials, which for our Team includes, but is not limited to, the following: Pharm.Ds, CIE/AIEs, AMCMs, MCMs, RHUs, FLMIs, MAAAs, FSAs, CISAs, and CIAs (Certified Internal Auditors). RRC has worked with over 35 insurance departments across the country and is well-positioned to serve your state insurance department.

We are thought leaders, actively follow and support the NAIC’s Market Regulation and Consumer Affairs (D) Committee and its working groups and task forces. We have delivered market conduct, pharmacy and MHPAEA-related training and thought leadership to regulators across the country via webinars, training sessions and published articles.