Capital Rx
Plan sponsors and administrators deserve a PBM that prioritizes cost-effectiveness and transparent drug pricing. How do you get that kind of deal when many PBMs follow opaque practices, like approving a high-cost formulary and keeping pharmaceutical rebates?
In 5 Recommendations for an Optimal PBM Deal, we explain the benefits of negotiating claim-level pricing commitments for all drugs. This is something you or your benefits consultant can do, and it’ll simplify various aspects of your relationship with your PBM. Claim-level guarantees are a way to provide you, the plan sponsor, with several advantages, including creating predictability and holding your PBM accountable for every claim it processes.
Download our eBook to learn:
- PBMs’ potential conflicts of interests that plan sponsors should be aware of (including PBMs that own mail order and specialty dispensing or retail pharmacies)
- Why plan sponsors should ask if they can use a price list, like NADAC, that’s based on acquisition costs
- How claim-level guarantees can help plan sponsors hold PBMs accountable and validate pricing at any time