Pharmacy Benefit Consultants provides the following services to clients: 

• Conducting PBM RFPs (Requests for Proposal)
• Analyzing existing PBM-client contracts
• Drafting and negotiating new PBM-client contracts or contract amendments
• Conducting in-depth claims data analyses to provide recommendations for – and calculate the savings that will result from –
  • Changing and improving a Plan’s Benefit Plan Design
  • Excluding certain high-cost drugs that have far lower-cost substitutes
  • Implementing customized prior authorization, step therapy, mandatory generic and quantity limit programs
  • Creating a limited or preferred retail pharmacy network
• Performing audits
• Providing ongoing and continuous clinical and financial services by regularly and continuously analyzing claims data, as well as responding to key marketplace changes such as –
  • High-cost brand drugs that lose their patents
  • The FDA’s approval of new-to-market drugs, particularly high-cost specialty drugs
  • Changes in the prices of every drug