Selecting the right Pharmacy Benefit Manager (PBM) is a crucial decision for brokers and employers who are seeking to strike the perfect balance between savings, support, and member satisfaction.
The wrong decision can lead to hidden fees, restrictive formularies, and unhappy members. How do you ensure you’re making the right choice? Carefully evaluate these five factors when choosing your ideal PBM:
1. Cost Management and Transparency
Are you paying for real savings, or hidden fees?
Pharmacy Benefit Dimensions (PBDRx) provides:
- Clear, upfront pricing with no hidden fees
- Detailed reporting to track cost-saving interventions and opportunities
- 100% pass-through of rebates to maximize plan savings
The result? More dollars stay in the plan, not in your PBM’s pocket.
2. Formulary Management That Works for You
Is your formulary serving you, or them?
At PBDRx, our Core Formulary is designed to balance cost control with member access to essential medications while aligning seamlessly with the plan’s most pressing needs.
We prioritize value-based, generic-first solutions that deliver lower-cost, clinically equivalent medications whenever possible.
What that means for you:
- Lower pharmacy spend
- Strategic drug selection for your plan’s needs
- Expert Clinical Pharmacist oversight for better decision making
Strategic drug selection and skilled clinical guidance are the key to maximum savings and quality.
3. Clinical Programs to Promote a Healthier Population
Does your PBM positively impact health outcomes while reducing overall health care costs?
Strong clinical programs don’t just enhance patient care, they reduce long-term health care costs. PBDRx’s clinical programs improve health outcomes at no extra cost to the plan.
How we make a difference:
- Value added programs at no additional cost
- Proactive outreach and member education
- Data-driven interventions prevent unnecessary spend
The right PBM should do more than process your claims, they should actively work to lower your costs.
4. Real People, Real Support
When a problem arises, does your PBM solve them—fast?
Exceptional service means less hassles for you and better outcomes for your greatest asset – your employees. Leveraging an average of 12+ years of industry experience, our team delivers fast, compassionate problem-solving to drive the utmost satisfaction that spans all levels.
What sets us apart:
- Proactive, personalized member engagement
- Dedicated Account Management and Client Support teams for seamless support
- 95% Overall Client Satisfaction
The result? Fewer headaches for the HR teams and happier employees.
5. Flexibility and Customization
When was the last time one-size-fits-all worked out?
An effective pharmacy benefit strategy must be aligned with the plan’s unique objectives:
- Tailored formulary and benefits design
- Adaptable cost-containment strategies
- A variety of program options for you to choose from
Customized solutions adapt to your needs, providing expert guidance when you need it most.
The Bottom Line
The Right PBM = Smarter Savings + Better Care
Your PBM should be a true partner—one that delivers real savings, real support, and real results. Now more than ever, it is critical to choose a PBM that prioritizes both clinical and financial alignment. PBDRx’s partnership promise is to deliver the best service, the best therapies and the best experience at the lowest net cost.
