Connecticut Pharmacy Benefit Consulting Services

PBIRx®

Intelligent Solutions in Pharmacy Benefits

612 Wheelers Farms Road, Milford, CT 06461

(888) 797-2479

With recent news suggesting that the cost of both specialty and prescription drugs is continuing to rise, the need to control such costs is pressing now more than ever. Furthermore, as the cost of services increases, entities that offer benefits, and specifically pharmacy benefits, will need to ensure that their PBMs are acting according to the terms and agreements in their plans; otherwise, they might be losing out on critical rebates and discounts! PBM contract audit language only allows up to 12 or 18 months that you can audit with a 90 day notice. If you do not follow the guidelines in your PBM contract you will lose the opportunity to audit and potentially leave 5% - 20% of your pharmacy spend in added profit to the PBM.

If you offer pharmacy benefits to your employees or members, we highly recommend connecting with an expert consultant like us to have your plan analyzed. Here is what we will do as part of our pharmacy benefit consulting services:

• Evaluate your current pharmacy benefit plan, including its design and the costs that you are currently subjected to.
• Identify where rebates and discounts are not being offered when they are available.
• Recommend a new plan design that more accurately reflects the lowest prices for your desired healthcare outcomes.
• Develop a PBM RFP negotiation strategy.

As we go through and analyze your plan, we will always present you with an unbiased, objective financial analysis that shows sensitivity to both the member and the client. For more information on how we can help create optimal healthcare outcomes for you and your members while reducing overall healthcare costs, please click here.

Located in Milford, CT, PBIRx's goal is to help you get more control over your healthcare costs. With a team of actuaries, analysts, clinicians, compliance officers and more, PBIRx always focuses on the clients' best interest rather than the PBM to ensure that they are not paying anymore than they need to be for desired healthcare outcomes. For more information, please call (888) 797-2479 or email info@pbirx.com.