There are a variety of resources available for guidance on navigating contracts with pharmacy benefit managers, but you have to be cautious about whos supplying the information.

How do pharmacy benefit managers get away with this spread pricing, without most employers ever knowing?

Increasingly, both private and public sector groups are beginning to take a careful look at the practices of pharmacy benefits managers as employers and taxpayers become curious about massive PBM profits and unclear contracts.

As state legislatures grappling with budget shortfalls search high and low for every possible angle to cut costs, big insurance companies and pharmacy benefit managers have managed to convince a handful of states to transition their Medicaid programs into a Managed Care model.