PBM carve-out is the solution to non-optimized pharmacy spend

PBM carve-out is the solution to non-optimized pharmacy spend

In our series of opinion pieces on questions that companies should be asking their carrier at all times, one of the most important one is related to non-optimized pharmacy spend and variability in drug costs. Everyone claims to be offering a transparent PBM. The question is, if it really is transparent or not? We have seen drug prices such as $498 and $166 for the same drug in the same region at retail stores depending on the PBM the employer is on. The difference is around $222 to up to $332 per drug. We are talking about savings of anywhere between 1 to 5% on overall healthcare costs.

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