Contract and Revenue Management

Compliance

Today, more is being asked of compliance departments overseeing government contracting and price reporting obligations. Faced with a rapidly evolving marketplace and the impacts of regulation, including the Inflation Reduction Act, there has never been a greater need to establish and maintain program integrity.

IQVIA offers a full range of compliance services to emerging and established pharmaceutical manufacturers alike, and our professional team can help you answer today’s questions with confidence.

Compliance with government programs is just part of the job

Good news: fielding compliance-related questions from other departments just got easier! Stay on top of evolving industry regulations and trends with IQVIA, a thought leader on the impacts of policy such as the Inflation reduction Act (IRA).

Our experienced team is ready to assist with program enrollment activities to establish or modify your participation in each government program, and our Government Pricing (GP) technology applies Connected Intelligence, to source and validate data ensuring accurate and on-time reporting.  Our Government Pricing team can review your current and future contract strategies and provide recommendations and impact to your financial bottom line.

Stay on top of it all and prepare insightful executive briefings with extensive online dashboards and analytical reporting capabilities.

IQVIA partners with pharmaceutical manufacturers to provide the following services:

  • Government contracting and program enrollment assistance
  • Government price reporting
  • State Price Transparency Reporting (SPTR)
  • Wholesaler and payer audits

Contracting and Enrollment

IQVIA provides assistance planning and enrolling with all pharmaceutical government programs.

  • Pharmaceutical Pricing Agreement
  • Medicaid National Drug Rebate Program
  • Medicare Part B and Part D
  • Federal Supply Schedule
  • PHS 340B Agreement
  • State Programs

Our helpful and experienced team will assist with program strategy, timeline and planning, and contract maintenance and modification.

Government Pricing Operations (GP)

IQVIA supports all government pricing requirements.

Medicare
  • Average Sale Price
  • Inflation Reduction Act (IRA) pricing
Medicaid
  • Average Manufacturer Price
  • Best Price
  • Unit Rebate Amount
PHS 340B
  • 340B Ceiling Price
Federal Supply Schedule
  • Non-Federal Average Manufacturer Price
  • Federal Ceiling Price
  • Industrial Funding Fee
State Programs

State Price Transparency Reporting (SPTR)

IQVIA follows evolving SPTR legislation closely so you can be sure your reporting requirements are clear and reports are delivered on time.

Product Evaluation

A solid SPTR program begins with a thorough evaluation of your product portfolio against prevailing reporting requirements.

Operational Reporting

Based on your product evaluation, a SPTR reporting timeline and price threshold matrix will be established. IQVIA will monitor for reporting triggers, prepare reporting inputs, and assist you with submissions.

Audit Services

IQVIA offers a comprehensive suite of audit and contract compliance services to help manufacturers better assess the financial and operational dynamics with their trading partners. Compliance services involve methodical review of processes, systems, policies, and practices related to wholesalers, payers, and specialty distributors/pharmacies.

  • Wholesaler Audit
  • Payer Audit
  • Ad-hoc
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