S4E3: Pharmacy Audits & FWA Investigations - Insights from a PBM and SIU Insider
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S4E3: Pharmacy Audits & FWA Investigations - Insights from a PBM and SIU Insider
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In this episode of Post-Script, Henry introduces Heidi McKinnon, PharmD, CHC, founder of RxExpert Insights, former Board of Pharmacy investigator, and former Head of Compliance and SIU oversight at a national PBM. With more than 20 years of experience inspecting pharmacies, responding to audits, and leading fraud, waste, and abuse (FWA) programs, Heidi brings unmatched insight into how audits work — and how they can escalate into full investigations.
In this episode, Heidi gives us a preview of her upcoming conference session, where she’ll explore:
- Common audit triggers and red flags that prompt SIU scrutiny
- How audits function from both the PBM and Special Investigations Unit perspectives
- Practical strategies to reduce risk exposure, prevent recoupments, and strengthen internal controls
Whether you’re a pharmacy owner, compliance officer, or part of an audit response team, you’ll come away with tools and real-world guidance to protect your operations and stay compliant.
Join us at the annual conference: Developments in Pharmacy Law Seminar, November 6-9, 2025 at the Westin on the beach in Fort Lauderdale, Florida.