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 -- MAC Pricing 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 Contract Definitions Provisions for Desired Financial, Clinical and Operational Outcomes Performance Guarantees Oversight for Successful Performance: Getting What You Pay For -- Critical Metrics -- Management Reports -- Auditing
PBM 101 White Paper Series -- See New Issue on Specialty Pharmacy!
