PBM Market Check & Consultation
Is your existing Pharmacy Benefit vendor able to manage the drug spend for your plan’s benefit?
PBM market checks are the way to unravel the full financial potential of your plan sponsor’s Pharmacy Benefit with changing market conditions. Market check is the key first step to bringing your incumbent PBM back to the negotiating table.
When was the last time you had done a financial evaluation of your existing PBM vendor? Annual financial reconciliation of your PBM contract is a critical step to ensure your plan benefits are delivering the actual financial value you had expected from your Pharmacy Benefit administrator. It is simple. It is effective.
Your Challenge
Pharmacy Benefit Management is the most utilized component of your employee’s benefit plan. With new and expensive medications flooding the market, it becomes difficult to manage and lower the drug spending for your population. As a self-insured plan sponsor, you are sharing the risk of paying for your employee’s prescription benefits. You hear of new and disruptive solutions in the market, and exploring what that could mean for your plan benefit could seem overwhelming.
PBM contracts are a maze of jargon that seems skewed towards offsetting the risk for the Pharmacy Benefit administrator while your self-insured plan sponsor assumes the actual financial risk of paying for these benefits.
Our Solution
We begin with a no-obligation consultation of your existing PBM contract to determine if you need our help.
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Comprehensive PBM consultation
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Contract evaluation
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Network and rebate reconciliation
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Market check that revolves around your needs and not the status quo
Annual market check should be part of your prescription drug cost-containment strategy.
Why Choose Us?
Our experts begin with a no-obligation consultation of your prescription benefit needs. Our expertise is backed by an understanding of the ever-changing PBM landscape that helps you navigate the complexities of the big three PBM vendors as well as the disruptive value prop of new and upcoming PBM vendors with you at the center of it. We understand and believe, that one size does not fit all.
Key Differentiators of Our Market Check
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Tailored approach: market check is a tool for clients of all sizes, you don’t have to be a Fortune 500 employer to receive the best-in-class pharmacy benefit solution for your employees.
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Strategic focus: we are not limited to the traditional PBMs and are not constrained to deliver a disruptive solution. Our experts work with you to create a 3 to 5-year strategic plan for your prescription benefits and ensure the market check results are delivered to your needs.
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Monthly and annual reconciliation of your drug spend.
Leverage Our Expertise Today!
Transform your benefits strategy. Empower your clients. Amplify your results. Discover tailored solutions for Brokers and TPAs in the self-funded arena.
Amwins Health & Employee Benefits Consulting has the solutions to help you gain and retain clients.
