Overview
The PBM Industry is rapidly changing. While your choices in the past were few, today, an extensive array of possibilities is available to lower your drug costs and improve your drug benefits, if you obtain knowledgeable consulting and legal advice.
Small PBMs are creating dynamic, new marketplace alternatives. Large PBMs are struggling to compete by decreasing their costs and offering new benefit programs (only a few of which will improve your drug benefit coverage). The time to evaluate your prescription coverage is now.
Pharmacy Benefit Consultants can assist you in dramatically reducing your drug benefit costs, while simultaneously expanding your drug benefit coverage:
- Obtain A Detailed Analysis of the Weaknesses of Your Current PBM Contract and Renegotiate and Eliminate All Contract Terms That Are Increasing Your Rx Costs
- Conduct A “Request for Proposal” (”RFP”) To Select A New PBM From Among Numerous PBM Contestants, But Conduct the RFP Differently — Use the RFP’s Leverage To Negotiate and Finalize A Contract that Your Health Plan Dictates, One That Will Dramatically Lower Your Costs
- Contractually Require Your New PBM To Renegotiate, At Least Annually, All Pricing and All Guarantees, To Ensure Your Health Plan Receives the Best Financial Terms Available In The Marketplace, Throughout Your Contract’s Duration
- Structure A New Plan Design, Incentivizing Your Members To Decrease Their Costs AND Your Costs Simultaneously
- Learn About New, Cutting-Edge Strategies To Decrease Your Drug Coverage Costs, and Improve Your Drug Coverage Benefits
Contact Pharmacy Benefit Consultants for further information.