Time to review your Pharmacy Benefit Manager contract?

The Rael & Letson healthcare practice has specialized expertise in the pharmacy benefit management (PBM) space and can deliver solutions for your self-funded prescription drug benefit program. Such services include:

  • Claims review of detailed data and monthly tracking of performance;
  • Review of PBM reporting and discussion of tailored clinical programs;
  • PBM RFP solicitation and review of results, including contract review of the new selected PBM and assistance in the implementation process;
  • Financial audits performed at the end of each contract year to ensure PBMs have met their financial guarantees; and
  • Overall support in the event questions or issues arise related to the prescription benefit plan or dealings with the PBM.

We can assist in auditing your PBM to make sure they are complying with all contract terms and help benchmark your current agreement, negotiate a favorable deal, or introduce lower cost opportunities for expensive medications. Let us know how we can help.