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The Pennsylvania Pharmacy Benefit Auditing Entity license

Pharmacy Benefit Auditing Entity

Audits pharmacies on a benefit manager's behalf, and Pennsylvania prices it exactly as it prices the manager. No other state on this site registers the auditor separately from the manager at all.

Course

None

This license has no pre-licensing course route.

Ways in

1

There is no state exam for this license.

Exam

n/a

Not required on any of the routes below.

Every way to qualify

  1. Route 1 Register with the Department under the Pharmacy Benefit Reform Act

    No state exam for this license

    The registration

    • Registration with the Department on its application form, filed through Sircon, for a two-year term

    and the fee

    • $10,000 to register and $10,000 to renew, the same ceiling section 501(b)(3)(i) sets for a pharmacy benefits manager

    Chapter 5 of the Pharmacy Benefit Reform Act registers rather than licenses, on a two-year term, and Act 77 of 2024 rewrote what it may cost. Section 501(b)(3) used to cap the fee at $1,000 for everybody; it now reads $10,000 for a pharmacy benefits manager or auditing entity and $500 for a pharmacy services administration organization, and the Department charges the ceiling in every case. An initial application fee is nonrefundable and a renewal fee comes back if the renewal is not granted, which is a distinction very few fee provisions on this site draw. There is no competence finding, no examination and no course anywhere in the chapter. The auditing entity is the part worth noticing. Chapter 3 of the act runs the pharmacy audit procedures the entity has to follow, and Act 77 added section 303(c), which limits what a scrivener's error can cost a pharmacy: an error not attributable to fraud, waste or abuse recoups the dispensing fee for that transaction and not the whole amount of the medication. Registering the auditor as well as the manager, and at the same price, is something no other state on this site does.

    Read at palegis.us on 2026-08-19

No national seller sells a course for this license, and nothing could: the auditing entity is registered on an application and a fee under Chapter 5 of the Pharmacy Benefit Reform Act, with no competence finding, no examination and no course.