Contract Negotiations

State and Local Government Entities Solutions

Change can be tough. However, failing to routinely review your pharmacy benefit contract can leave you stuck with a key employee benefit, no longer meeting member needs. Outdated contractual terms may favor your PBM – preventing you from managing cost!

How do you improve your PBM contract? PillarRx’s contract review compares your member needs to your PBM contract and verifies your PBM’s contract adherence.

We’ve tailored our value-added solutions specifically for state and local government entities.

Services

  • Financial review

  • CMS compliance guidance

  • Contract adherence monitoring

  • PBM analysis and selection

References

“Following the PillarRx audit, we learned that our PBM contract should be renegotiated in terms of allowing the administrator to keep all the pharmacy rebates. We learned that this contract arrangement is behind the market, outdated, non-competitive and needs to be more transparent. We recommend other municipalities go through a competitive RFP process for proposals that offer competitive pricing, utilize technology, and offer additional follow-up consultation services.”

“PillarRx has been guiding our State pharmacy plan meet our unique needs for 6 years. The audit process is straight-forward and helps align our contracts with pharmacy program services. PillarRx’s audit services, contract review and claim process monitoring have resulted in cost-savings opportunities for our State plan.”

Let’s Work Together

Our practical guidance can help you maximize your financial outcomes, eliminate pharmaceutical waste and abuse, and increase member satisfaction.

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Auditing Services & Consulting Services

10400 W. Innovation Drive, Suite 105

Milwaukee, WI 53226

Call us:

(844) – 377 – 4246

Copay Assistance Program

1839 Lake St Louis Blvd.

Lake Saint Louis, MO 63367