Pharmacy Benefit Management
Spending on prescription drugs has increased at double-digit rates for the past decade and is now the third largest component of health care expenses. Closed or highly restricted formularies or incentive-based formularies (where drugs are placed in different tiers) are common methods used to attempt to mitigate prescription expenditures. While studies have shown that increased patient cost-sharing and formulary restrictions can reduce pharmaceutical costs, new methods of controlling these escalating expenses are being developed and evaluated.
Dubraski & Associates has experience with all types of prescription benefit plans and Pharmacy Benefit Management (PBMs) models, including:
Traditional PBM Management
By leveraging the buying power of a nationwide client network via our partnership with Zywave, we are able to offer clients pharmacy benefit discounts from two national renowned pharmacy benefit managers. These PBMs typically share a portion of the financial incentives (discounts and rebates) and offer reduced or eliminated administrative fees in return.
Transparent (Pass-Through) PBM models
Under our transparent PBM partnership, our PBM partner is committed to returning (or passing through) 100% of all discounts, rebates and associated revenue stream dollars that may have an immediate impact on the plan sponsor. Unbiased clinical programs, superior customer service and proactive account management help clients achieve lower net drug costs and greater financial strength while improving member health and satisfaction.
If provided basic pharmacy data, Dubraski & Associates can perform a prescription drug cost savings analysis to determine which solution is right for your organization.