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 - and improve - 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:
- 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 Draft, Negotiate and Finalize An Entirely Different Form of Contract During the RFP. Don’t Wait Until AFTER the RFP To Determine Your Contract Terms
- 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
- Contractually Require Your New PBM To Renegotiate - At Least Annually - All Pricing Terms and All Guarantees, To Ensure Your Health Plan Receives the Best Financial Terms Available In The Marketplace, Throughout Your 3 Year Contract
- Use Our Claims Data “X-Ray” To Quickly Determine Exactly How Much Your PBM Is Gouging You For Commonly Used Generic Drugs — And Exactly How Much You Can Save If You Obtain Appropriate PBM Pricing And Move Your Members To Lower Cost Drugs
- 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.