Pharmacy Center of Excellence
expenditures are one of the fastest growing cost drivers for benefit plans
today. The pharmacy industry lacks transparency and a motivation to place the
needs and the interests of the benefit plan or client first so Pelnik offers
support to help balance the scales.
Our Pharmacy Center Manager
Pelnik’s Pharmacy Center of Excellence is managed by Confidio. They serve as a one-stop solution for self-funded PBM contract, financial analysis and consulting. Confidio is a unique pharmacy resource developed to efficiently and effectively evaluate, manage and oversee your self-funded client’s pharmacy benefit management programs. The Confidio platform provides turnkey solutions to benefit advisors with proven market-leading PBM partners that offer, on average, 20-30% savings off traditional market contracts.
Pelnik’s Five Fundamentals of Pharmacy Contracting:
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- Do they have a contract specific to their
their contract clearly list out the discounts/fees/rebates that are applied to
their contract clearly define under what circumstances those
discounts/fees/rebates are applied to their claims?
their contract clearly state what detailed information they will have access to
relative to claims utilization and experience?
their contract contain audit rights that allow them to validate that their
carrier or PBM is compliant with their financial obligations under the
contract? These services allow employers to benchmark their pharmacy program
compared to other employers, understand costs drivers and implement steps to
take control of these costs. Our goal is to eliminate excess cost and reduce
pharmacy trend for our clients.