Tag Archives: Evaluating PBMs

No, not that word! The other “F” word…Fiduciary!  At WBC (www.wbcbaltimore.com) we have been asking our clients to keep this word in mind.  Trustees of multi-employer plans (and other types of plan sponsors) need to remember that the decisions they make are guided by the judgement of being a fiduciary.   This means that their decisions […]

One of the most important contractual elements in a Pharmacy Benefit Manager’s (“PBM”) service agreement that is used in pharmacy benefit cost reduction is the definition  and utilization of the MAC (“Maximum Allowable Cost”) list.  The MAC generally refers to a PBM-generated list of products that includes the upper limit or maximum amount that a […]

2016 will be a crazy year for PBMs and plan sponsors of pharmacy benefit programs. The cast of characters continues to shrink through market consolidation, and most analysts believe that the trend will continue. At Wilkinson Benefit Consultants (wbcbaltimore.com), we’ve listened to plan sponsors raise the questions of “Where do we turn?” and “How can […]