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Uncovering the Truth Behind Your Rising Pharmacy Benefit Spend

For many business leaders, deciphering ways to control costs without compromising employee’s benefits package is crucial.

 Prescription drugs are not only an integral component of the benefits package but also deliver quality healthcare. In an era of Pharmacy Benefit Manager (PBM) consolidation, skyrocketing specialty drug cost and over-utilization, 10-15% of pharmacy spend is lost due to unfavorable pharmacy contracts.

Although most employers trust their PBM to provide the best solutions for containing their organization’s pharmacy spend, what many fail to realize is their PBM’s interests are frequently in direct conflict with their own. The lack of transparency and federal regulation hinders employers’ ability to accurately measure PBM performance to hold them accountable for passing through promised rebates and discounts that are part of pharmacy contracts.

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