A guide for employers to take action and take control of their employee pharmacy programming.

1. Employee Pharmacy Programming
ALL THE RESPONSIBILITY
NONE OF THE CONTROL

2. EMPLOYERS HOLD ALL THE RISK

3. EMPLOYERS HAVE NONE OF THE
CONTROL OVER THEIR PHARMACY
PROGRAMMING

4. WHO CONTROLS
PHARMACY PROGRAMMING
PBM’s
Community
Pharmacists
Drug
Manufacturers
It’s not employers

5. WHAT DRIVES THE COMMUNITY MODEL
Price Per Pill
Adjudication
Fees
Pill Volume
Incentivizing
Pharmacists
Formulary
Workarounds
Poor Member
Education
Lack of
Adherence
Poor Therapy
Interchange

6. WAYS TO FLIP THE DYNAMIC AND GIVE
EMPLOYERS PHARMACY PROGRAM
CONTROL
• White Labeled Customized PBM (Employer Owned)
• Onsite Full Pharmacy Direct Contract – Remove Pill Volume Incentives
• Access to Clinical Pharmacists
• Medication Adherence – proper medications should be taken 80% of the
time or higher for them to do their job and reduce the risk of medical
issues
• Focus on evidence based, member centered care that is not rebate driven
cheaper isn’t always better
• Look for hidden contract fees allowing a third party to keep your savings
• Evaluate specialty drug costs

7. WHO’S LOOKING OUT FOR YOUR
COMPANY SPONSORED PLANS?