Consultant's Guide to Smarter Rx Oversight

Practical steps for benefits consultants to identify PBM gaps, validate rebates, and deliver stronger Rx oversight for employer clients.

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Raise the Standard of Rx Oversight for Your Clients

PBM contracts are complex, and performance guarantees often hide more than they reveal. As a benefits consultant, you're responsible for helping employer clients understand whether their pharmacy benefit is actually performing — and what to do when it's not.

This tip sheet gives you a practical framework for identifying PBM gaps, validating rebate accuracy, and building a more defensible Rx oversight process for the employers you serve.

  • How to identify and challenge PBM performance gaps on behalf of clients
  • Key questions to ask when validating rebate payments and contract terms
  • Steps to take action on high-cost specialty drug claims
  • How to build a stronger Rx oversight process for employer clients
  • A practical checklist for consultants advising on pharmacy benefit management

Who this is for: Benefits consultants, brokers, and advisors who support self-funded employers with pharmacy benefit management and PBM oversight.

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