What are PBMs

Pharmacy benefit managers, or PBMs, act as an intermediary between the payer and everyone else in the healthcare system. They generally make money through service fees from large customer contracts for processing prescription claims, operating mail order pharmacies, and negotiating prices with drug makers. PBMs are largely unrecognized by most employees—and even by many employers and human resource managers. But they have a tremendous impact on U.S. health care decision-making because they influence more than 80 percent of drug coverage.

Costs

Questions

  • 10 Questions Company Benefits Managers Must Ask Their PBM

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whorunsmydruplan.com

Welcome to whorunsmydrugplan.com™. The interests of patients, employers, and pharmacies must be aligned to optimize the value of a prescription benefit. The purpose of this site is to provide education and assistance to achieve a coordinated prescription benefit design.