by Team PCM | Nov 28, 2023 | Blog Post, Contract Management, Pharmacy Benefits
Is 2024 going to be the year of biosimilars? Recently, biosimilars have emerged as a transformative force in the healthcare industry, offering cost-effective alternatives to expensive biologic drugs. As drug prices continue to rise, biosimilars could be the key to...
by Team PCM | Oct 24, 2023 | Blog Post, Contract Management, Pharmacy Benefits, Plan Management
Drug rebates refer to financial agreements between pharmaceutical manufacturers and payers, such as self-insured employer plans or pharmacy benefit managers (PBMs). These agreements involve a portion of the purchase price of a medication returned to the payer as a...
by Team PCM | Sep 8, 2023 | Blog Post, Contract Management
Benefits consultants face significant challenges when managing pharmacy benefit spend for clients. The lengthy process of evaluating Pharmacy Benefit Management (PBM) contracts for large employers often leaves limited time and resources for mid-market groups,...
by Team PCM | Aug 15, 2023 | Blog Post, Contract Management, Plan Management
In the ever-evolving healthcare landscape, benefits brokers, consultants, and TPAs face the daunting task of making critical decisions that impact the client’s financial standing and their members’ well-being. Balancing cost-effectiveness with quality care...
by Team PCM | Jul 19, 2023 | Blog Post, Contract Management
Drug discounts are reductions in the cost of prescription medications as negotiated by pharmaceutical manufacturers and Pharmacy Benefit Managers (PBMs). The PBM acts as an intermediary between the pharmaceutical manufacturers and the self-insured groups, negotiating...
by Team PCM | Jun 19, 2023 | Blog Post, Contract Management
In the ever-evolving healthcare landscape, pharmacy benefits are crucial in ensuring affordable medication access for patients and plans. Pharmacy benefits contracts establish the terms and conditions under which insurance plans cover prescription drugs. The annual...