Selection of the Right PBM cannot
be done by a “Spreadsheet” Analysis
Often the PBM with the best rate, rebate and administration fee
may have other hidden profit centers that will actually increase
your drug spend. The search for the lowest cost provider for your
plan also depends on the PBM processing procedures, formulary, MAC
generic costs list and any of the other service agreements.
SCS uses an extensive and proprietary RFP process that reveals
the true net cost differences between PBM applicants.
Because the SCS pharmacist staff has many years of managed care
and PBM experience, we are able to create the RFP questions that
insure correct business practices and highlight the differences
among applicants. Through our experience in auditing the details
of PBM processing, we know “where all the bones are buried”
and our RFP service can build the foundation of the best PBM contract
for your plan.
SCS has the experience on all sides of managed care. We have staff
with the applied experience of PBM contract negotiation of a large
pharmacy chain as a provider, client representation for insured
arrangements and even experience as management of a PBM. With that
as a background, SCS is uniquely qualified to help in your PBM selection
We have even developed a “no loop-holes” contract that
will be presented to the finalists of the RFP process to sign prior
to coming to the finalists meeting.