How We Help
Through rigorous contract reviews, targeted plan design, and ongoing cost management, PBM Solutions consistently delivers average savings of 25%, reaching 50% or more with full program optimization.
Our clients see 25% savings (on average), and once we are able to fully optimize our client’s pharmacy program, our clients can see 50% or more savings on average!
How do we do: We are aligned with our clients goals when it comes to pharmacy benefits plan spend. We have found that “when we are rowing the boat in the same direction” with our clients, the outcome is a healthy patient population at the lowest cost to the health plan. We call it the “Win-Win” situation!
We take the complicated out of PBM management through a variety of customized approaches including:
Contract Review and PBM Procurement for Organizations
- Requests for PBM proposal and contract negotiations
- Objective comparisons of incoming proposals from vendors that determine the overall value of each proposal through the identification of key elements:
- Client/Customer Service
- Plan Design and allows for customization of Plan design
- Clinical Programs and offerings
- Pricing
Savings Analysis
- Analysis of your current prescription benefit plan to determine and how it can be improved. Our evaluation will give a clear picture of where your costs are and what your savings can be through our services.
Pharmacy Benefit Plan design
- Development of your new, customized plan based on our comprehensive analysis.
- Develop innovative cost containment solutions to the plan to maximize the value, while minimizing the costs to the patient and the plan.
- Solutions include 340B Program, 340B Third Party Administration, 340B Program Reporting/Auditing/HRSA Compliance
Formulary management
- Oversight of the entire formulary and expert recommendations advice on additions and/or deletions to the formulary based on the market conditions
Continued Cost Management and Ongoing Services
- Claims Utilization management
- Claim history auditing that provides cost management for your company, as well as copay card programs to offset costs.
- Utilization tracking throughout the year.
- Pharmacy Operations Services
- Day to day pharmacy management consultation, clinical authorizations and prior authorization design, and true disease management
- Optimizing the use of onsite medical clinics and onsite pharmacies
- Custom-designed solutions that are game changers for large group employers.
- Options on health group consolidation to drive down health costs for multiple plans
Pricing transparency. Exceptional customer service. Flexible and customized.
Take control of your pharmacy costs.
Stop overpaying and start saving. PBM Solutions helps you reduce costs, reinvest in patient care, and even generate new revenue streams. Let’s talk about how we can transform your pharmacy benefits strategy today.
The Solution
We’re proud to stand among LSU’s 100 fastest growing tiger businesses.
