Pharmacy benefit managers - or PBMs - offer a wide range of benefit management services for corporations, insurance companies, unions, government employee groups, and managed care organizations. The key function of a PBM is to enable a plan sponsor's employees to obtain covered medications safely, conveniently, and less expensively. The PBM business model was developed in response to significant increases in the costs of prescription drugs. PBMs focus on the following areas of concern:

What is the value of carving-out with a PBM? Two fold - Cost containment. A comprehensive, carefully designed drug benefit should result in lower costs for your clients and better health for employees. Through careful management of utilization and cost, in partnership with the client, we can ensure substantial savings in overall employer health costs.

Having pharmacy data available, delivered daily from our PBM, provides our software the most up to date and creditable health care diagnosis information available. Our care managers have the best opportunity to engage plan participants before bad medical events occur. Case managers working from insurance company cliams information are working with dated data; 30 to 120 days after the diagnosis or treatment as well as creditable data issues. Case managers miss opportunities to help sick people and avoid higher cost health care treatment.