PBM Management

The complexity of pharmacy benefits manager (PBM) contracts can make it difficult for employers to know exactly where their plan dollars are going and whether their PBM is delivering the full value promised in the contract.

It’s stop-loss insurance renewal season, and for self-funded employers, the stakes can be high with regard to the impact on health care costs for the upcoming plan year. The decisions employers make throughout the plan year influence their position when …

The recent launch of generic versions of Xeljanz is a striking example of the savings that can be generated when competitive drugs enter the market.

Discover key takeaways from a standout SHRM26 session on remote work, including how to design more engaging, interactive, and human virtual experiences.

As a leading pharmacy benefits consultant, Innovative Rx Strategies continuously monitors emerging trends and priorities across the industry. In our latest survey, we found that financial institutions were overrepresented in the conversations that followed.

The energy at Total Rewards ’26 in San Antonio made one thing clear: employers aren’t just thinking about pharmacy—they’re starting to treat it like their medical strategy.

For today’s plan sponsors, a PBM RFP is no longer optional. It is one of the clearest ways to show you have tested the market, demanded transparency and selected partners based on value to the plan and its members, not …

On April 2, 2026, the current administration announced a new tariff of up to 100% on many imported brand name prescription drugs and their key ingredients. Section 232 is a U.S. trade law that allows the federal government to raise …

PBM audits and annual financial reconciliations are often mentioned in the same breath, but they are not interchangeable. Each plays a distinct role in protecting your pharmacy spend and holding your PBM accountable.

On Tuesday February 3, after years of failed attempts, Federal legislation has been signed into action focused on Pharmacy Benefit Plan (PBM) reform as part of the Consolidated Appropriations Act, 2026.

Understand the role of post-implementation PBM audits in ensuring the PBM is upholding contractual obligations and identifying errors that can negatively impact a plan and its members. Contact our pharmacy benefits experts today for more insights!

The pharmacy benefits landscape is transforming faster than at any point in the past two decades. For plan sponsors, this creates both risk and opportunity. Those who understand and prepare for emerging trends will achieve better outcomes; those who don’t …