Archive: Pharmacy Benefits Consulting

  • July 7, 2021

    Better Benefits in 90 | Spread Pricing

    What is spread pricing? It’s how PBMs make money at the expense of you paying more money for your prescription drugs. Apex Chief Operating Officer Jim Harenberg gives an example of spread pricing and why customers should combat it in …

  • June 29, 2021

    Better Benefits in 90 | The Real Value of Saving 30% on Pharmacy Benefits

    Jim Harenberg, Apex Benefits COO, discusses what 10-30% savings on pharmacy benefits means to your company in real dollars.

  • May 14, 2021

    Shopping for Your Prescription Drugs Online: An Update

    This new search tool includes pricing of 60,000 pharmacies across the US, according to the blog post and link above. Naturally, as a pharmacist, I was curious so I took this search tool for a test drive today to check …

  • May 6, 2021

    Ways to Save? Importation of Drugs From Canada: Think Twice

    While some individuals and their employers have obtained medications through personal importation that appear to reduce the drug’s cost, the savings results are not universal and there are other considerations that as a pharmacist I think every employer and their …

  • April 7, 2021

    Apex Grows Pharmacy Benefits Specialist Team

    Apex Benefits, Indiana’s largest employer health benefits advisory firm and services provider, is proud to announce the addition of two more employees to its Kinetiq Health team of Certified Pharmacy Benefits Specialists. Advisor Mark Goodpaster and Senior Account Executive Joni …

  • March 31, 2021

    Wee Dose of Radical Transparency | EP 11

    Chances are if you manage a self-funded health plan, you know how important specialty meds are to your overall costs. The complex administration of these high-costs drugs can be intimidating. But as an HR administrator, you shouldn’t be as there’s …

  • March 17, 2021

    Less is More in Your PBM Contract

    What you’re looking for is referred to as “lessor of” logic or “lessor of” language. In layman’s terms, its language in your PBM contract that stipulates that if there is a lower available price, the PBM must use it as a …

  • March 14, 2021

    Wee Dose of Radical Transparency | EP 10

    Less is more, right? When it comes to pharmacy benefits, this is absolutely applicable. It’s called Lesser of Language, or language in your PBM contract that instructs PBMs must use the lowest price of a drug on the market when …

  • March 7, 2021

    What Smarter Analytics Does for You

    Of course, you need to know where cost is coming from. But, equally important, you need to understand where cost is not coming from too so that you can reduce avoidable costs.

  • February 24, 2021

    Stop Focusing on Rebates, GDR Needs More of Your Attention

    I’ve got a question, have you ever caught yourself forgetting what an acronym stands for? Seriously – It happened to me this past weekend. Acronyms are all around us.

  • February 19, 2021

    Wee Dose of Radical Transparency | EP 9

    Have you ever caught yourself forgetting what a certain acronym stands for? There’s so many in the world that we’re bound to forget one on occasion. It’s the same with the acronyms in pharmacy benefits.

  • February 10, 2021

    The Audit Provision You Can’t Afford to Overlook

    The pharmacy benefit managers who score the lowest within our proprietary system will allow for audits but expressly limit information access in the contract either in terms of manufacturer remittances or other forms of line item details. 

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