Pharmacy benefit managers: evaluating clinical utility in the real world

Abstract

Over the years, pharmacy benefit managers (PBMs) have conducted and published peer-reviewed research covering a broad spectrum of activities ranging from studying the impact of alternative-benefit designs on outcomes to identifying the epidemiology of treated disease to understanding the impact of medication use on overall health-care costs. It is the unique “wired” interactive role in the health-care system that enables PBMs to play an emerging role in evaluating the clinical utility of biomarkers.