Pricing is set per engagement after the free review.
The free review
Last plan year checked against your contract using data you already hold. No notice to your PBM, no use of your audit right. A memo that says what an audit would find and whether to run one. Free, under any circumstance.
The audit
The formal audit under your contract's audit clause: every claim re-priced, findings reproduced and argued before you see them, the demand letter, the response, the true-up. Terms are set per engagement after the free review, based on what your contract allows.
After the audit
Continuous monitoring (monthly checks of new claims against the contract you just audited, a quarterly file, next year's audit) and renewal offers or RFP bids priced against your own claims, offered after the audit on the same basis.
What your rules allow
Terms are set to what your plan's rules and contract allow; we confirm which during the free review.
What is never charged
Nothing by any PBM, pharmacy or manufacturer. No fee for the free review under any circumstance.