Employers are turning away from the “big three” pharmacy benefits managers to other PBMs that offer greater transparency and lower costs, says Wharton professor of health care management Lawton Robert Burns. As one of those alternatives, MedBen Rx is bringing innovations to pharmacy benefits that the major PBMs don’t – or simply won’t – offer.
“If we have not only employers but also health insurers being more experimental in how they structure their health benefits and who they contract with for their pharmacy benefits, that keeps that whole nexus of players on their toes,” Burns said. “The more competition there is, the better.”
If you’re still using one of the “big three” PBMs, consider what you’re currently getting from them:
Does Your PBM…
…ensure you pay the lowest possible cost for drugs? With MedBen Rx, you pay what the pharmacies pay, plus dispensing and PBM per claim fees, with no hidden margin.
…provide 100% transparency? MedBen Rx eliminates markups and margin. You know where every dollar goes, and why.
…return all paid rebates? With MedBen Rx, 100% of all paid rebates comeback to your plan.
…offer solutions for high-cost specialty drugs? Through solutions like MedBen Rx’s benefit preservation program, our patient advocates work to significantly reduce specialty drug costs.
…address drug effectiveness as well as cost? MedBen Rx’s comparative effectiveness program brings clinical research and employers together to find the most effective drugs at the best cost.
...support its promises with proof? MedBen Rx supports its program with detailed, easy-to-understand reports that offer a clear picture of what’s working and suggestions for moving forward.
From 2019 to 2023, MedBen Rx clients saved an average of 18% compared to their previous PBM. And while we offer multiple avenues to reduce your drug spend, your savings ultimately come down to one simple idea: Your money belongs to you.
See for yourself the difference that MedBen Rx solutions can make for your pharmacy plan by contacting your broker or calling us at 888-627-8683.