Utilization management (UM) programs serve as a gatekeeper to the formulary, working to ensure appropriate, cost-effective medication use. They can...

Understanding how pharmacy benefit managers (PBMs) make money can help plan sponsors determine which PBM business model is best for their Rx plan –...

Didn’t have time to attend our recent webinar on managing chronic conditions? Don’t worry – we’ve got you covered with a recap!

Deciding to switch service providers can be difficult, whether it's your cable or your pharmacy benefit manager. But sometimes it's necessary.

Is your PBM maximizing your Rx benefit plan performance and lowering your pharmacy spend? Make sure your PBM is working for you and take your Rx...

Provider-administered specialty drugs covered under the medical benefit can cost far more than their average wholesale price (AWP). As a result...

As the country strives to get ahead of the Coronavirus by getting as many vaccinated as possible, booster shots may help extend protection. Get the...

As a plan sponsor, getting the level of customer service you deserve shouldn’t be a tradeoff for your drug benefit.

Transparency is a way to validate that your PBM is doing what it said it would do. At the start, your benefit plan was quoted at a set group of...