PBM Contracts

Carving Out Mail Order, Specialty and Rebates

A Monthly Blog Series - #5 of 5 So far, in my series Weathering the Rx Storm , I’ve reviewed how to improve your PBM contract , how to develop a strong formulary & effectively manage benefits design and how to engage employees in new models . If you haven’t been following my series, then I recommend reading the first four blogs for a well-rounded look at saving money on pharmacy benefits. Today, in the final blog of this series, I’ll focus on the advantages of carving out m...

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Tim Thomas 11/16/2016 Comments(0)

Engaging Your Members in New Models

A Monthly Blog Series - #4 of 5 In this blog series, I’ve discussed ways to review and improve your PBM contract, as well as achieving the best financial value from your benefit design, formulary, and specialty Rx. The next step is to help your members make informed decisions on what medications they should use, where they purchase them, and what cost effective alternatives exist. Making the right choices, with guidance, can help lower out of pocket costs and improve employee adherence to ...

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Tim Thomas 10/26/2016 Comments(0)

Achieving The Best Value Through Your PBM Contract

A Monthly Blog Series - #3 of 5 By: Tim Thomas R. Ph. Founder & Managing Director FLHCC Affiliate Partner Crystal Clear Rx When reviewing a PBM contract and benefits plan, there are a few areas I always analyze to ensure maximum savings are being achieved for my clients. Areas of concern are formularies, benefits design and specialty/mail pharmacy. If you’re just joining this blog series Weathering the Rx Storm, then catch up by reading blogs one and two . In the last blog, I spoke abo...

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Tim Thomas, R. Ph, Crystal Clear Rx Founder & Managing Director 10/4/2016 Comments(0)

How to Review and Improve Your PBM Contract

If you’re reading this blog, you’re most likely aware how cumbersome and intricate pharmacy benefit management PBM contracts can be. Negotiating these contracts properly takes a deep understanding of PBM business practices and definitions, industry-specific language, and pricing structures. In part two of this blog series, I’ll discuss what red flags to look for in your PBM contract and how to fix them. If you haven’t been following this series, you may want to review las...

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Tim Thomas, R. Ph, Crystal Clear Rx Founder & Managing Director 8/12/2016 Comments(0)

Weathering the Rx Storm, A Monthly Blog Series

A Monthly Blog Series - #1 of 4 By: Tim Thomas R. Ph. Founder & Managing Director FLHCC Affiliate Partner Crystal Clear Rx If you are like most employers today, you are in the midst of a confusing landscape when it comes to managing pharmacy benefits. Making sound decisions on your Rx benefits design can be difficult and costly if you don’t have the right resources at hand. I thought it would help to provide some information about how to choose the right consultant or firm to assist wi...

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Tim Thomas 6/16/2016 Comments(0)