Employer Guide
Practical, actionable guidance for employers and benefits managers navigating pharmacy benefits decisions.
Choosing a PBM
Evaluation criteria beyond price: transparency provisions, clinical programs, network adequacy, and contract terms.
How to Audit Your PBM
Claims analysis, rebate reconciliation, pricing guarantee compliance. What an effective audit actually examines.
PBM Contract Red Flags
Broad amendment clauses, vague rebate language, and other contract provisions that erode employer leverage.
PBM RFP Guide
How to structure a pharmacy benefits RFP that generates comparable bids and protects your long-term interests.
Self-Funded Pharmacy
Carving out pharmacy from medical. When it makes sense, what changes, and how to manage the transition.