Pharmacy Cost Control

Prescription drug costs are accelerating at a faster pace than medical care. Pharmacy spend, driven by specialty drugs developed to treat complex and chronic diseases, is expected to exceed 50% of combined medical and pharmacy spend in coming years. In any evaluation of benefit plan costs, it is important to focus attention on your pharmacy benefit manager (PBM) as well as member utilization patterns.

Our team will evaluate, recommend and implement a program designed to affect how members utilize the prescription feature of the medical plan. As part of our pharmacy consulting, we will

What’s new for 2022?

Pharmacy analysis reduces waste and maximizes rebates.

Is your PBM contract in need of an examination? Here’s what points we include on our PBM contract checkup.

  • Definitions
  • Calculation methodologies
  • Rebates
  • True-up payment terms
  • Guarantees
  • Exclusions
  • Remediation options
What’s new for 2022?

Is specialty pharmacy taking a bigger bite out of your Rx budget?

Let’s talk benefits and your plan performance.