Pharmacy Benefit Management Concepts: Oversight and Assistance
In this final part of the series, we will dive into PBM performance and support—answering questions about how PBMs gauge plan effectiveness and provide support to stakeholders.
In this final part of the series, we will dive into PBM performance and support—answering questions about how PBMs gauge plan effectiveness and provide support to stakeholders.
At National CooperativeRx, the strength of our cooperative lies in the satisfaction of our members and partners. Their feedback shapes our services and drives our commitment to excellence.
In this second part of our series, we delve into the inner workings of PBMs, answering questions about what happens after a patient fills a prescription, how benefits are effectively managed, and the strategic approaches PBMs utilize.
Employer groups often engage brokers, consultants, or third-party administrators to assist in evaluating and selecting pharmacy benefit plans to offer their plan participants. While these professionals handle much of the detailed work
National CooperativeRx’s member-owned, not-for-profit cooperative model provides additional financial benefits for members. This includes 100% pass-through of rebate true-up, retired equity, and excess revenue in the form of patronage dividends.
Industry reports have shown the percentage of healthcare dollars spent on pharmacy continues to rise, jumping from 21% to 27% since 2021.¹ With even greater trends projected in the coming years,