06/09/2026
Pharmacy is now one of the fastest-growing areas of healthcare spending (now accounting for more than 20% of healthcare spend in the U.S.), and it's also one of the most difficult areas for employers to navigate.
When we talk with employers about their pharmacy strategy, I always come back to three things that I believe every PBM contract should include: 💊 📜
🔹 Transparency: To eliminate spread pricing
🔹 100% Pass-through: To capture any manufacturer rebates
🔹 Full audit rights: To ensure contract is being executed appropriately
These certainly aren't the only provisions that matter... but they're a strong foundation for understanding where your pharmacy dollars are going, and ensuring your PBM is working in your best interest. 👍