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…
Insights & Education
Tag: Fiduciary PBM
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…
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,…
A Prescription Benefit Analysis
Analysis of a 4,552-member pharmacy benefit revealed $232K lost to spread pricing and $133K in avoidable brand costs.…
When Lower Costs Aren’t on the Formulary
Why do expensive brand drugs have lower copays than generics? Learn how formulary tier placement affects your plan…
The Rebate Trap: What’s Really Inflating Your Pharmacy Spend
Your employees pay $1,000 for a $500 medication. The difference goes to your PBM. Here's how rebates influence…