Pills in blister packages

Amid growing dissatisfaction with the jumbo traditional Pharmacy Benefit Managers (PBMs), largely driven by hidden fees, rebate-driven pricing and a lack of transparency, industry stakeholders are no longer waiting for change. They are shedding existing relationships and proactively contracting with alternative PBM models that offer more attractive pricing and quality transparency.

Throughout the industry, self-insured employers seeking cost control, health systems integrating PBM services, independent pharmacies advocating for fair reimbursement and government agencies prioritizing affordability increasingly recognize the opportunities for making the switch. By eliminating unnecessary intermediaries and improving data visibility, they can take control of their pharmacy benefits while reducing costs and improving patient care.

Recommended For You

Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.

Your access to unlimited BenefitsPRO content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
  • Educational webcasts, white papers, and ebooks from industry thought leaders
  • Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor
NOT FOR REPRINT

© 2025 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.