Pharmacy Benefits

It might seem like Alphabet Soup, but knowing what NDC and J-Code means is an absolute must. Essentially, both are used to determine how your medical procedures or medications are billed to your health insurance. However, there are significant differences …

You’re probably getting ready to review your pharmacy benefits plan and how much you’re spending. How much you spend depends on your PBM contract, which can be anywhere from radically transparent to opaque. Consider these three tips to help lower …

It’s always important to ask questions to your PBM to make sure you’re getting the best benefit possible from the services. While we can come up with up to 10 different questions, we know there are three you absolutely should …

The perfect PBM does not exist, because no PBM might be perfection. However, that is unrealistic knowing that there are more than 20,000 prescription drugs on the market at any one time, more than 65,000 retail pharmacies out there in …

Does your organization take an active approach to saving money through its pharmacy benefits program? You’d be surprised at the potential cost saving opportunities that exist. At Apex, our Kinetiq Health Pharmacy Benefits Consulting Program just does that — save …

Walmart recently released its own brand of analog insulin for people with diabetes to boost its pharmacy business and compete with Amazon’s recent push to sell more medications.

If you’re managing a self-funded healthcare plan in 2021, chances are you know about specialty medications and how they can devastate a pharmacy benefit budget. Specialty drugs are becoming more common, so your organization needs to have a plan for …

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 …

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

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 …

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 …

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 …