The Employer's Guide Blog for Overseeing PBMs

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Unlocking the Secrets of PBMs: Strategies to Navigate Their Profit Tactics (Volume 93)

Pharmacy Benefit Managers (PBMs) often use clinical programs like Generic Dispensing Rate (GDR) and Specialty Dispensing Rate (SDR) to influence employer drug spend, but not always in your favor. In this episode of Unlocking the Secrets of PBMs: Strategies to Navigate Their Profit Tactics, I break down how these metrics can be quietly manipulated to boost PBM profit at the expense of plan sponsors.

[Watch} Unlocking the Secrets of PBMs: Strategies to Navigate Their Profit Tactics

You’ll learn:

  • What GDR and SDR actually measure
  • How PBMs use them to appear clinically focused while protecting revenue
  • Warning signs your PBM might be misusing these benchmarks
  • Actionable strategies to regain control and align these metrics with a fiduciary standard of care

If you’re an HR leader, CFO, benefits consultant, or self-funded employer looking to cut pharmacy costs without sacrificing outcomes, this video is a must-watch.

Tyrone Squires, MBA, CPBS

I am the proud founder and managing director of TransparentRx, a fiduciary-model PBM based in Las Vegas, Nevada. We help health plan sponsors reduce pharmacy spend, by as much as 50%, without cutting benefits or shifting costs to employees.

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