In less than two decades, transparent third-party prescription claims adjudication has evolved into the extremely profitable and opaque pharmacy benefit management industry of today. Pharmacy Benefit Managers or PBMs make most of the value decisions that plan sponsors are unqualified or choose not to make. This wouldn't be a problem except for the fact that most PBMs are non-fiduciary, which means their interests are not aligned to those of their clients. If you want to explore how to improve your pharmacy benefit design and reduce pharmacy costs 15% or more, just click that big blue button below.
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