Services

Our services are designed to strengthen oversight, ensure compliance, and support audit-ready operations across federal benefit programs.

Service Areas

Network Adequacy Oversight (Prime Role)

  • Verification of geographic network coverage
  • Monitoring access-to-care compliance
  • Oversight of PBM network performance

Federal Contract Management & Compliance

  • Contract onboarding
  • Reporting & documentation
  • Regulatory alignment
  • Risk mitigation

PBM Oversight & Program Governance

  • Claims review monitoring
  • Hard/soft edit compliance
  • Pharmacy network governance

Escalation & Federal Liaison Support

  • 24/7 escalation availability
  • Coordination with PBM support services
  • Incident tracking & documentation

Audit Documentation Support

  • Exportable audit logs
  • Secure digital records
  • Federal-ready documentation

Financial Reconciliation (Prime-Level Oversight)

  • Invoice validation
  • Cost transparency
  • Reconciliation of financial variances

Risk Mitigation & Vendor Governance

  • Monitoring vendor performance
  • Identifying compliance risks
  • Escalation of issues affecting federal operations
  • Oversight of corrective actions

Federal Partners & Compliance

Who We Support

PFSC supports federal agencies and government programs requiring disciplined oversight, compliance, governance, and audit-ready performance.

We also coordinate with:

  • PBM subcontractors operating under PFSC’s governance
  • Partner organizations supporting federal benefit operations

Compliance Statement

PFSC operates in alignment with federal administrative, cybersecurity, and regulatory requirements.

Secure Data Protocols

Data is maintained in encrypted, U.S.-based environments with NIST-aligned security controls.