Tuesday, May 12, 2015

Rare Look: A Detailed Analysis of an Existing Client's Old Contract with a Legacy Pharmacy Benefits Manager

With permission from an existing client, I've provided here an example of a bad PBM contract. This section of the contract pertains only to pricing or client payments. Nevertheless, client payments are the foundation for a successful PBM program. Read the red font. It provides a detailed analysis and explains why this contract is bad for the payer (a self-funded employer group with over 5000 members) yet very profitable for the PBM.
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Note:  To enlarge click on the image above and when on the resulting page click the magnifying glass in the upper right corner to zoom in for a higher resolution.  Use the scale to reach the desired resolution and your mouse to move up or down the page.

Do you want to eliminate overpayments to PBMs now? The fastest path to pharmacy benefits cost containment starts here.

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