| PBM 101 White Paper Series -- See New Issue on Specialty Pharmacy!
If you need some basic training on how to work with your pharmacy benefit manager and get the most value from your organization’s drug benefit plan, this white paper series is invaluable. It’s perfect for anyone new to the drug benefit arena. It will help employee benefits generalists for whom the drug benefit is only a small part of their total responsibilities. Each of these reader-friendly white papers includes schematics to illustrate major concepts, a glossary of need-to-know terms, and links to electronic resources for additional learning.
Evolution of Drug Benefit Management Pharmacy Benefit Manager (PBM) Business Models Simple Approach to Understanding PBM pricing Drug Rebate Programs Working Effectively with PBMs Defining Generic Drugs Tracking Generic Savings Opportunities
Getting to the Lowest Net Cost Drug
-- MAC Pricing -- Plan Design and Other Incentives
-- Member and Prescriber Education
Impact of Generics on Medication Compliance
Strategizing Around Health Conditions
Managing Drug Mix Through Effective Plan Design
Cost Sharing Strategies
Economic Tools
Utilization Management Tools
Defining Specialty Pharmacy Growth in Specialty Drug Marketplace Cost Management Strategies -- Rx & Medical Claims Analysis -- Best Drug Pricing -- Optimal Dispensing Channel Utilization Management Strategies -- Clinical Tools -- Member Cost Share -- Preferred Products Clinical Care Management Strategies -- High-touch Patient Services -- Medication Adherence Choosing a Specialty Pharmacy Provider Measuring Success Industry Overview: Drug Benefit Stakeholders Industry Stakeholders and Their Roles Relationships Among Stakeholders Customer Corridor for Pharmacy Benefit Management Major Industry Achievements: 1995-2009 Challenges Ahead
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