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Employers

Life-saving medications are becoming increasingly expensive, with some drugs costing over $1,000,000 per year. Employers seeking guidance from Pharmacy Benefits Consulting Group face a tough choice: adhere to ACA regulations and exclude certain medications allowed by ERISA to control health plan expenses, or continue covering these drugs and risk financial ruin.
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Blending Business Strategies and Clinical Expertise Can Help Manage Rising Drug Spend

The role of the Clinical Account Executive (CAE) at Pharmacy Benefits Consulting Group is a very important one for helping clients identify pharmacy trends and implement appropriate clinical programs for their membership. It’s a role that utilizes the clinical expertise of a pharmacist with a business outlook to devise cost-saving strategies. Our team has over 100 years of pharmacy benefits experience, analyzing physician prescribing and client utilization patterns to develop formulary management strategies and cost-effective clinical solutions for clients.

We strive to support our client and consultant partners in identifying pharmacy trends and educating them on clinical programs and solutions. We serve as an integral part of the account team for every client, ranging from a small, 50-employee company to large national employers. Our team of pharmacists and analysts have a unique skillset in that we have a clinical background in a client-facing role.

As licensed pharmacist and analyst, it is important to have a combined clinical and business background. PBCG makes a strong impact working directly with clients to help them manage spend. We have the right mix of operations and offerings where we feel we make a difference. Our willingness to be flexible and work with clients is a priority. We focus on what the client wants to accomplish, look at what the client wants and understand what they need.
Service is the most important thing. Customers make choices not by price, but by service.  There are so many choices, if a company is not able to apply consistent, reliable service, the customer will go elsewhere and when they do, it’s difficult to get them back.
Mike Schaltenbrand R. Ph.
President-Pharmacy Benefits Consulting Group

PBCG Flexibility

With our flexibility and understanding that we feel is needed to manage what he sees as the most pressing trend in pharmacy benefit management, the continued rise in specialty drug costs.

Specialty drugs account for more than half of pharmacy drug spend for many clients. Our approach to managing these high-cost, high-touch therapies needs to be multifaceted. Not only do we need to control costs, we also need to eliminate wasteful spending and make sure members are staying adherent to their treatment.

Our team works to develop crafted clinical solutions to help clients manage these complex medications. At PBCG, we’re flexible enough to provide benefit design strategies that can be customizable to meet our clients’ needs. One way that we’ve accomplished this is by bringing forth benefit-design-based strategies to reduce plan spend, both from a specialty drug perspective and non-specialty drug perspective.

Our solutions provide savings for payers while keeping the member experience intact throughout the entire process.

Here we explain how our specialty pharmacy partners, also makes a difference in managing specialty drug spend. While many specialty pharmacies have become more focused on dispensing, our specialty pharmacy has remained high touch and personalized. Our pharmacists stay in close communication to monitor and support members when needed, while developing personalized care plans based on the member’s condition and prescribed treatment. This approach increases adherence and maximizes the effectiveness of their therapy. Pharmacy Benefits Consulting Group has consistently performed better than benchmark in adherence measures and 90-day discontinuation rates. This ultimately leads to long-term treatment success and better therapeutic outcomes.

Our team provide our clients with day-to-day clinical support and we have a great team environment. We all share common goals, and they revolve around our clients.

This is just one example of Pharmacy Benefits Consulting Groups professional service we utilize to really work to assist our clients in managing their drug spend while still helping members achieve whole health for life.

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