Auditors showed up unannounced at 3 independent pharmacies. This RI law was ready for them.

Matt Tocco, pharmacy manager at Atwood Pharmacy in Johnston, is pictured on Feb. 13, 2026. (Photo by Alexander Castro/Rhode Island Current)

Zahan Akbar had just dropped his kids off at school one October morning when he got a call from his staff at Atwood Pharmacy in Johnston.

A half hour later, Akbar arrived to find two unexpected guests at his independent pharmacy on Atwood Avenue. They were auditors from Prime Therapeutics, a pharmacy benefit manager (PBM), otherwise known as the middlemen of prescription drug plans. And they were asking questions about the way Atwood was documenting vaccines it had dispensed…

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