PBM Contract Review

Greater savings and better results in your pharmacy benefit plan

With high drug costs now the leading cost driver in health plans, companies are becoming acutely aware of the need for an advantageous contract with their Pharmacy Benefit Manager (PBM). Everyone is seeking a PBM contract that affords lowest net plan cost that allows members access to the drugs they need − but with soaring drug costs, complex formularies and esoteric contract language, achieving that result has become extraordinarily challenging.

In order to achieve optimal pricing, your contract must be highly transparent, specific in its definitions, and competitive in its rebate and discount structures.

The Certified Pharmacy Benefits Specialists team at PSA is offering a PBM Contract Review to employers with over 300 employees. Our analysis will grade your Pharmacy Benefit Plan’s competitiveness on the two categories of cost drivers that really matter:

1. Transparency

Clear definitions, including (surprisingly!) generic vs brand
Use of 3^rd party references to define guarantee of discounts

2. Pricing Fairness

Discount analysis/benchmarking
Pass through pricing
Rebate passthrough loopholes
Pricing for mail order drugs
Restrictions around excluding certain high cost drugs (when acceptable alternatives exist)
Savings opportunities from formulary adjustments with minimal disruption

Get Your Free PBM Contract Review

First Name*

Title*

Last Name*

Number of Employees*

Email*

Company*

Phone*

Industry*

This field is hidden when viewing the form

Lead Status

This field is hidden when viewing the form

Lead Source

This field is hidden when viewing the form

Website

This field is hidden when viewing the form

Record Type

Lookup user or queue (Deven to provide info)

Comments

This field is for validation purposes and should be left unchanged.