Switching PBMs mid-year: what actually breaks
Most of the fear around a mid-year transition is about continuity of care. Here is what carries over…
Insights & Education
Blogs.
Short reads on what actually sets the price of a prescription.
What Employers Should Watch For In TN’s PBM Reform Bill:
Tennessee's PBM reform bill targets spread pricing, rebates, and pharmacy reimbursement. Here's what employers should watch as the…
The Conflict Built Into Your Pharmacy Benefit
In a real estate transaction, two people sit across the table from each other with opposite goals. The…
Does Your PBM Contract Tell You Everything, or Just Enough?
Most PBM contracts show you some of the picture. Learn how spread pricing, rebate definitions, and carve-outs affect…
You Wouldn’t Share a Lawyer. Why Share a PBM?
Most employers assume their PBM works for them. Traditional PBMs often collect revenue from multiple sources. Learn what…
Spread Pricing Is Now Banned in California: What it Means for Your Business
California's SB 41 bans spread pricing and puts new fiduciary requirements on PBMs. Here's what plan sponsors and…
CAA 2026: The Industry Is Being Forced to Do What We’ve Always Done
CAA 2026 mandates 100% rebate pass-through and eliminates spread pricing starting in 2028. For DisclosedRx, this changes nothing.…
Is Your PBM Really a Fiduciary?
Every pharmacy benefits manager claims they work for you. But when prescription drug costs keep climbing, those promises…
Top 10 Discovery Questions for PBM Evaluation
Ask these 10 questions to evaluate any PBM partnership. Learn what to look for in contracts around pricing,…