PBM Consulting

Substantially reducing pharmacy benefit costs without sacrificing plan quality.

We work with employers, labor unions, health systems, and managed care organizations. We have the expertise and experience to work with all types of plan sponsors. We help reduce plan prescription medication costs by analyzing and optimizing every aspect of a client’s PBM program. Our team helps clients implement changes aimed at both short-term and long-term savings. The PBM program consists of a multi-tiered approach:

  • Comprehensive PBM claims review and auditing to identify opportunities for cost savings
  • Rebate Review
  • PBM negotiation assistance to help secure the most favorable vendor relationships and contracts and to mitigate the unit cost of the claims processing through the plan
  • Full PBM procurement reviews, specialty only procurement, rebate only procurement
  • Ongoing maintenance and interaction with vendors to ensure adherence with commitments and prudent implementation of programs to achieve the most significant savings and effective management of year-over-year trend line

We adhere to the highest ethical standards by recommending solutions to clients rather than vendors. We have no ties to any single PBM firm.

Additionally, as stated in all contracts, we do not receive any renumeration for the placement of business from any PBM, broker or other third party. Because our team is aligned with clients’ objectives only, the vendors know that they are all treated fairly. We receive the most aggressive offers for clients and provide the best-suited solution to address clients’ specific needs.

“Your consultant should be as transparent as you expect your vendors to be”