Why Savings Don't Materialize: The Truth About Pharmacy Benefit Procurement eBook
Reports & eBooks
June 12, 2025
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Under the Consolidated Appropriations Act (CAA), health plan sponsors have a duty to ensure the selection of vendors and other service providers is process-driven. With this requirement comes an age-old question: how can you be sure you achieve a fair and competitive contract for the most-accessed healthcare benefit: prescription drugs?
In Why Savings Don't Materialize: The Truth About Pharmacy Benefit Procurement, we explain:
- Why traditional PBMs have an advantage over their prospective and existing clients
- The reason(s) there's a disparity between the pharmacy RFP and the actual results
- How to create accountability on key cost drivers, like drug mix
- How to achieve predictability and cost savings
Helpful Resources for Decoding Pharmacy Benefit Management Procurement
- Pharmacy Benefits 101: What is a Formulary?
- Why Use NADAC-Based Pricing Over AWP
- 5 ways to improve PBM procurement for clients
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