Pharmacy Benefit Managers (PBMs) play a crucial role in managing prescription drug benefits for companies and insurance plans. However, the lack of transparency and complex contracts within the PBM industry has raised concerns about excessive costs and potential...
Resources & Insights
Stay informed on key topics within the health benefits arena and learn how to find the best solutions for your healthcare needs. Our articles provide comprehensive insights into the complexity and value of medications, health policy updates, and strategies for navigating complex healthcare decisions.
Categories: Blog
Why do specialty medications cost so much?
Understanding Pharmacy Pricing:A Closer Look at AWP and Hidden Fees Pharmacy pricing can be complex and confusing, especially for those unfamiliar with the industry. In this article, we aim to demystify the pricing structure and shed light on hidden fees that can...
Why Is member advocacy crucial for self and level funded employers
When partnering with a Pharmacy Benefit Manager (PBM), prioritizing good member advocacy in the selection criteria is vital. PBMs play a significant role in managing prescription drug benefits for health plans, determining the list of covered medications, negotiating...