Should Your PBM Be In Detention?

While school districts manage substantial budgets for healthcare benefits, the promised resources often fail to reach the classrooms and faculty who need them most. As prescription costs continue to rise, teachers and staff find themselves paying increasingly higher portions of their healthcare expenses. This financial strain affects not just individual educators but the entire educational ecosystem.

With limited budgets stretched thin, many administrators find themselves forced to make impossible choices between educational resources and faculty benefits. Meanwhile, traditional Pharmacy Benefit Managers (PBMs) operate behind a veil of complexity that obscures where money actually flows.

When faculty members visit their pharmacy for necessary medications, they're often shocked by rising copays and unexpected costs. If districts are allocating substantial funds toward prescription benefits, why are costs still increasing for both the institutions and their employees?

The answer lies in how traditional PBMs operate.

The Traditional PBM Problem

Most school districts work with large, established PBMs that promise competitive rates but deliver something quite different.

These entities typically:

• Retain significant portions of manufacturer rebates instead of passing them to clients

• Implement "spread pricing" where they make your plan and your employees pay more for medication simply to add profits to their bottom line

• Deliberately design convoluted fee structures that are nearly impossible to track or comprehend, masking their true revenue streams and exploiting the school districts and its employees

• Limit formulary control so they get placement fees for expensive therapeutics and force districts into a one-size-fits-all approach

The result? Taxpayer money meant to create a healthy learning environment for our children is instead lining the pockets of Traditional PBMs, fueling their profit margins.

Many school boards and administrators simply don't realize there's a better alternative.

A Partnership Built on Shared Values

DisclosedRx believes in the same core values that drive educational excellence: integrity, service, innovation, and careful stewardship of resources. We understand that school districts face unique challenges and require partners who truly care about their mission.

When you partner with us, you gain more than just a PBM. You gain an advocate committed to ensuring every dollar intended for faculty benefits actually serves that purpose. We deliver Member Service that reflects the care teachers show their students every day.

The result: reduced costs, improved benefits, and the ability to redirect savings toward your core educational mission. We serve with passion so you can better serve your students.

DisclosedRx helps lower your Rx costs by taking fiduciary responsibility for the management of your pharmacy benefits. Contact us to learn how your district can benefit from a truly different approach to pharmacy benefits.