While it may seem early to be thinking about 2023, summer is primetime for issuing pharmacy benefit manager RFPs. In a healthcare environment where an annual cost increase is expected both by employer groups and employees, finding the right PBM relationship can reverse this troubling trend and actually lower overall healthcare spend.
But these contracts are anything but simple, and what you see may not be what you get. There are multiple layers and even hidden languages to sift through. That’s right, some PBMs have different meanings for words as seemingly straightforward as “generic” or “rebate.”
