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 …

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.

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.

Imagine having such sought-after benefits that your organization is an absolute magnet for the very best employees in your industry.  And, over time, when recruiters call, your employees simply ignore the call.  Your employees are thinking, “Why would I ever …

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. 

With full responsibility for employee benefits resting on your shoulders, I know how hard you work to provide your employees with affordable healthcare options that are easy to use and simple to understand. Managing employee benefits is essential to your …

Has your broker presented a PBM solution that has no Administrative Fee? Or, presented a PBM with a $1 or $2 Administrative Fee and positioned it as competitive? Read more.

Have you ever considered for a moment that most traditional pharmacy benefit manager contracts provide access to 65,000 – 70,000 pharmacies? 

I’ve also mentioned, that because of traditional PBMs incentive to maintain status quo, they will provide transparency and disclosure only as demanded by clients – you the plan sponsor.

Did you happen to catch the recent news in late-February of 8 blue chip corporations coming together to push back on Traditional PBMs and demand transparency?

How do you stay organized in the midst of many distractions while working at home? Read more on how Scott Long has made the transition to working from home.

I’m here to tell you that AWP is neither average or based on actual wholesale prices. AWP is not based on actual transactional, marketplace price data.