It’s all about leverage.

When it comes to PBM Procurements we’re all about maximizing leverage for our clients.  In our nearly twenty-year history, we have conducted countless PBM procurement projects including market checks, renewals and full market procurements for health plans, employers, labor trusts and coalitions.

We have worked with virtually every PBM in the industry, keeping us on the forefront of contracting methodologies, pricing strategies, rebate options and plan management innovations.  Our volume of work provides a valuable knowledge base that enables us to provide key recommendations of PBM contracting strengths and weaknesses.  This keeps leverage on the side of our clients, ensuring your PBM contract maximizes savings and delivers results.

We understand that the best determination of market pricing is through a well-run procurement where several PBMs are competing for your business, and we ensure all our clients comes out of the procurement process with a PBM contract that is clear, auditable, and contains market-leading pricing.

Because each plan is different and there are many factors that impact pricing, it isn’t enough to simply compare price offers to market intelligence.  Our team’s 25 years of direct PBM underwriting experience enables us to navigate the intricacies of pricing structures and complex contracting terms to understand why differences exist.  And we use that understanding to your advantage in strategic negotiations to drive to the best possible price.  We know what to ask for, when to ask for it, and how to ask for it to get results. 

Our real-time PBM intelligence ensures that bids received are consistent with current market conditions.  We have seen an increase in market competitiveness and we can assure you that the PBMs will offer their most aggressive pricing and contract terms.

Once you’ve selected a PBM, we will guide you through the contracting process to maximize your leverage in securing the best market pricing available.  We do it efficiently without all the back-and-forth and negotiate the final contract before the business is awarded.   Throughout this process, whether you use the PBM paper or your own template, we ensure commitments made through the procurement process are incorporated into the final contract and are enforceable upon audit. 

Maximize Savings, Mitigate Risks and Optimize Effectiveness

We take a data-driven approach and work with you to develop and recommend a pharmacy program that fits your individual plan needs – helping you maximize savings, mitigate financial and regulatory risk, and optimize effectiveness. Contact us to learn more.