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 Outdated contractual terms may favor your PBM – preventing you from managing cost!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.
“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 We learned that this contract arrangement is behind the market, outdated, non-competitive and needs to be more transparent.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.”