Tag Archives: Selecting a PBM

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 […]

Reducing prescription drug costs continues to be a principal objective and elusive goal of most prescription drug benefit plan sponsors and payers. Elusive because it’s almost impossible to know what drugs actually cost. As the old adage goes, “you can’t manage what you can’t measure.”  All that most plan sponsors see when it comes to […]