White paper
Pharmacy benefits: Why and how you should reconsider your plan and PBM
What employers and their consultants need to know to make the right decisions on their prescription drug plans.
Chapter 1
All you need to know about PBMs
- How did pharmacy benefit managers start?
- Who regulates PBMs?
- PBMs role today : relations with stakeholders
- PBMs core value proposition : Reducing drug costs
- How PBMs do make money?
Chapter 2
ProBleMs
- A market dominated by an oligopoly.
- Prior authorizations and Step-Therapies “In name only”.
- Prescription drug prices have been up at a high pace in the last ten years.
- A huge financial burden for plan sponsors and members.
Chapter 3
How to choose your PBM
- Choose the right metrics.
- What to ask for ?
- How to put “pressure” on specialty drugs prices.
- How to negotiate a short, clear unambiguous agreement banning all “bad” practices.
