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Audit: Aetna missed some contractual guarantees; auditors return roughly $59,000 to Titusville

City of Titusville City Council · January 30, 2026
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Summary

An independent PBM audit of Aetna’s administration of the city’s prescription plan covering Oct. 2023–Sep. 2024 identified shortfalls in discount and rebate guarantees and returned roughly $59,000 to the city; auditors recommended renegotiation and an RFP in 2026–27.

An independent pharmacy benefits audit presented Jan. 29 to the Titusville City Council found that Aetna did not meet all contractual discount and rebate guarantees for the period Oct. 2023 through Sept. 2024.

"We saw about $2,400,000 in overall drug spend," said Ray O'Neil, senior audit manager at RxConnection/Arc Connection, who led the audit presentation. O'Neil said…

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