Your Advocate Against the Rising Cost of Prescription Drug Benefits
Pharmacy benefit comprises 20 to 25 percent of health care expenses, a significant component of total health care costs. Attributed in part to rising high-cost specialty medications and industry consolidation, these increases pose ongoing challenges for both organizations and plan participants across the nation.
With a robust specialty pipeline comprised of orphan drugs and gene therapies, predictions of higher year over year (YoY) spending will impact employers in the near future. Organizations need objective and reliable pharmacy-specific guidance in alignment with health care reform, industry trends and organization-specific key health plan initiatives.
Pharmacy Consulting Services
- Pharmacy Benefit Manager (PBM) contract review
- Carve-in & Carve-out options
- Pharmacy Benefit Manager marketing (procurement)
- Plan design, benefit management & implementation oversight
- Market check
- Annual pharmacy experience review & clinical recommendations
- Vendor management & member issue resolution
As a top 25 broker of U.S. business, our team of robust clinical and financial consultants can help you navigate the ever-changing pharmacy benefit landscape. Applying best practices for pharmacy management, we will review past pharmacy experiences and provide strategic recommendations specific to your organizations’ needs and culture.
The CBIZ Difference
CBIZ distinguishes itself from competitive brokers in the marketplace by maintaining objectivity and does not own, operate, or have ties to a pharmacy benefit vendor. CBIZ does not operate our own PBM coalition. This allows for truly unbiased examination, assessment, and counsel of our clients’ pharmacy benefit management programs. By aligning solely with our clients’ objectives, vendors are assured fair and equal treatment, ensuring highly competitive financial offers.
Through collaboration, we will develop financial models, pharmacy program analyses and clinical evaluations designed to save our clients as much as 20 percent in annual pharmacy spend. These efforts are led by Michael Zucarelli, PharmD, a licensed and practicing pharmacist who serves as CBIZ's National Pharmacy Practice Leader. Additional team members offer our clients a breadth of pharmacy expertise ranging from marketplace perspectives to vendor capabilities, as well as valuable practical and clinical knowledge.
We Treat Each Client with Care
Our philosophy is simple: we will work hard to earn your trust and gain your confidence. We treat each client with the utmost care; we develop strong personal relationships; and we provide service with a commitment to professionalism and the highest level of personal and professional integrity. Working together, we can help you curb prescription benefit costs and build a high-value competitive benefit plan that leads to happier, healthier employees.