Pharmacy Benefit Auditors

Pharmacy benefit managers (PBMs) negotiate drug discounts with pharmacies and rebate arrangements with drug manufacturers. While the Client bears the financial burden of funding prescription claims, PBMs as the middleman, continue to show large profits. The balance between client cost savings and PBM profit creates a potential conflict of interest between the needs of the Client and the revenue of the PBM. Full pass through arrangements have helped to promote transparency in prescription pricing but without a full understanding of the potential pitfalls in these and other arrangements, the client is at the mercy of the PBM. Pharmacy Benefit Auditors negotiates pricing arrangements on behalf of the Client to obtain the best possible discount arrangement and maximum rebate reimbursements.

Price Negotiations