Through our experience, Diversified knows that when experts negotiate with current pharmacy benefits managers, terms can easily be improved. There has never been a better time for employers to have their general and specialty pharmacy strategies reviewed for optimal pricing terms and other savings opportunities.
Through analytical reporting and expert clinical consulting services, Diversified arms employers with the knowledge needed to contain their prescription plan expenses and proactively manage their prescription benefit offerings. We evaluate Pharmacy Benefit Management (PBM) programs on an ongoing basis and make recommendations to our clients that can improve their coverage while also reducing overall costs.
During our evaluation, here are some things we review and consider:
Understanding the Contract
Whether your pharmacy benefits are managed by your medical carrier or carved out and covered by a PBM, without an annual contract review of the benefits, you could be missing out on significant savings. Diversified is dedicated to reviewing your contracts to ensure you’re getting the best options available.
To maximize pharmacy dollars, it’s essential that your PBM contract outlines explicit guarantees on pricing and a reasonable service term. At Diversified, we are committed to holding carriers accountable to the contracts provided to each client.
A PBM contract should have verifiable pricing terms to allow results to be compared against the contract and ensure guaranteed savings are received. Diversified understands the importance of your pharmacy benefits when making plan changes and recommendations.