PBM best practices

03 May 2021 - By Greg 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 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 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 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.

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