Annual Assurance
The audit gives you a point-in-time view. Annual Assurance helps you stay on top of what changes.
Sandia Rx provides ongoing oversight of pharmacy benefit performance, material findings, PBM follow-up, reporting, and benefit changes throughout the year so important issues do not disappear between audits or renewal cycles.
What Annual Assurance Covers
Annual Assurance extends pharmacy benefit oversight beyond a single audit. Sandia Rx continues reviewing material areas of performance, following unresolved issues, and helping employers maintain visibility as the benefit changes throughout the year.
-
We review updated pharmacy benefit information throughout the year to identify meaningful changes in spend, utilization, PBM reporting, and previously identified areas of concern.
-
Open questions do not disappear when the audit ends. We track material PBM responses, outstanding documentation, and issues that require continued follow-up.
-
We monitor relevant pricing, fees, rebates, contract provisions, and other financial information as new reporting becomes available or benefit arrangements change.
-
Before the next benefit cycle, we revisit material findings, review what has changed, and help identify the issues that should be addressed before renewal or another PBM decision.
A Changing Standard for PBM Oversight
Federal PBM transparency reforms are increasing employer visibility into pharmacy benefit pricing, compensation, reporting, and audit access.
Annual Assurance helps employers maintain an organized record of pharmacy benefit performance, PBM responses, material findings, and unresolved issues throughout the year, supporting a more documented approach to ongoing oversight.
The audit establishes the baseline. Annual Assurance helps maintain the oversight.
How Annual Assurance Works
01 | Carry Forward the Findings
We begin with material findings, open questions, PBM responses, and upcoming priorities from the most recent review so nothing important is lost as ongoing oversight begins.
02 | Review What Changes
As new information becomes available, Sandia Rx reviews material changes in pharmacy spending, utilization, PBM reporting, and benefit performance.
03 | Keep Open Issues Moving
We maintain visibility into unresolved findings, PBM responses, documentation requests, and other items that should not be lost between meetings or reporting periods.
04 | Prepare for What Comes Next
Before renewal or another major benefit decision, we reassess the areas that matter most and identify what has improved, what remains unresolved, and what deserves attention next.
Annual Assurance is designed for employers that want continued visibility into pharmacy benefit performance after the initial review is complete.
Tell us a little about your organization and current pharmacy benefit. We’ll follow up to discuss your existing audit findings, upcoming renewal, and whether Annual Assurance is the right next step.