Employers often feel stuck between two bad options: reduce pharmacy costs by limiting coverage or accept rising expenses year after year. But there’s a better path. By modernizing how pharmacy benefits are managed, organizations can lower spend and improve member health outcomes.
Traditional PBM structures often reward volume and high-priced drugs. Employers fear that lowering costs means restricting coverage, frustrating members, and risking compliance.
The truth: smarter pharmacy benefit management proves you can achieve both affordability and quality.
Clinical Review at the Right Time
AI-driven reviews flag duplicate therapies and unnecessary specialty prescriptions before they drive up costs.
Formulary Optimization
Transparent PBMs help design formularies that balance affordability with evidence-based treatment options.
Adherence Support
Encouraging members to stay on lower-cost maintenance medications prevents expensive ER visits later.
A regional employer saved 12% on drug spend while simultaneously improving adherence rates among employees with chronic conditions by 9%. The result: healthier employees and lower long-term costs.
Cost savings don’t have to come at the expense of member care. With the right PBM partner, organizations can have both.