Seeking value in working with pharmacy benefit managers

Abstract

By working with pharmacy benefit managers (PBMs), employers can improve prescription drug use and thereby both reduce health care costs and enhance patient quality of care. This article educates employers about the importance of plan design in pharmacy benefits management, what distinguishes PBMs from other benefit intermediaries and how employers can evaluate and audit services provided by a PBM. Finally, it discusses upcoming changes in the drug benefit marketplace that will affect employers' opportunities and challenges in providing maximum prescription drug benefits at the best value.