BEST PRACTICES SERIES
PBM best practices
21 September 2023 - By Janus Desquitado, Francis Ayson
As a best practice, health plan sponsors should implement a comprehensive audit process of their pharmacy benefit manager to help manage their drug spend.
05 August 2022 - By Greg O. Callahan
Pharmacy benefit managers play a key role in helping plan sponsors manage prescription drug spend, and good account management can make all the difference
02 June 2021 - By Greg O. Callahan, Marc Guieb
With PBMs, is it best to go with a standard or custom formulary, or a hybrid of the two? We discuss the considerations to help plan sponsors choose the best option.
03 May 2021 - By Greg O. Callahan, Marc Guieb, Dustin Pollastro
A review of best practices for plan sponsors in evaluating clinical programs offered by pharmacy benefit managers.
06 November 2020 - By Greg O. Callahan, Angela Reed
This paper explores performance guarantees best practices plan sponsors can leverage to hold their pharmacy benefit managers accountable for operational performance.
14 May 2020 - By Greg O. Callahan, Janus Desquitado
Auditing the administration of the pharmaceutical manufacturer rebate program, including dollars paid, is a proven strategy for improving plan sponsor profitability, prescription drug affordability, and the management of pharmacy benefit manager contracts.
24 February 2020 - By Brian N. Anderson, Greg O. Callahan
One of the most important ways plan sponsors can lower healthcare costs without significantly changing their benefits is to look for opportunities to improve their pharmacy benefit manager contract.
27 November 2017 - By Brian N. Anderson, Angela Reed
This paper looks at the pharmacy benefit manager (PBM) implementation process and identifies key items to consider for a successful PBM implementation, including pre- and post-implementation activities.
12 December 2016 - By Brian N. Anderson, Angela Reed
There are a number of important factors that should be considered when making a decision whether or not to carve out pharmacy benefits.
07 September 2016 - By Brian N. Anderson, Alex Johnson
This article discusses the finer points of the pharmacy benefits manager (PBM) vendor selection process and provides an overview of PBM contract negotiations and market checks.