PHARMACY BENEFITS CONSULTING

We are an independent pharmacy benefits consulting firm led by pharmacists. We are passionate about lowering your drug costs. As your advocate, we make sure your members have access to the medications they need when they need them – and at an affordable price.

We navigate the ins-and-outs of drug pricing and PBM contract complexities while protecting your interests at every turn. The pay-off is a PBM agreement with pricing terms and guarantees that benefit your bottom line and not the PBM’s.

Services Include:

Pharmacy Benefits Plan Assessments

Take control of your drug costs by taking advantage of a no-risk, no-obligation PBM contract review and pharmacy benefits savings assessment.

Strategic Plan Design

Pharmacists and clinical consultants create innovative plan designs that maximize strategies such as custom formularies, rebate optimization and specialty drug management.

PBM RFP Process Management

We assess current PBM contracts and pricing terms. If favorable terms can’t be negotiated, we source solutions from other PBMs through an RFP process.

PBM Vendor Management

We manage implementations, lead the day-to-day account management of your PBM relationship and hold the PBM accountable for operational excellence.

Pharmacy Claims Surveillance

Our pharmacists identify savings and clinical interventions while continuously reviewing claims on the pharmacy plan and pharmacy claims that come through your medical plan.

Organizations save 30% on average on pharmacy costs in the first year of our engagement and sustain those savings over the life of the PBM contract.