With permission from an existing client, I’ve provided here an example of a bad PBM contract. This section of the contract pertains only to pricing or client payments. Nevertheless, client payments are the foundation for a successful PBM program. Read the red font. It provides a detailed analysis and explains why this contract is bad for the payer (a self-funded employer group with over 5000 members) yet very profitable for the PBM.
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Do you want to eliminate overpayments to PBMs now? The fastest path to pharmacy benefits cost containment starts here.