PBM Consulting Services

Substantially reducing pharmacy benefit costs without sacrificing plan quality.

At Excelsior Solutions, we have the expertise and experience working with all types of plan sponsors, including employers, managed care organizations, health systems and labor unions. We help reduce plan prescription costs by analyzing and optimizing every aspect of our clients’ PBM program. Our team helps clients implement changes aimed at both short- and long-term savings by taking the following multitiered approach to PBM programs:

  • Comprehensive claims review, contract adherence and auditing services to identify opportunities for cost savings.
  • Negotiation assistance to help secure the most favorable vendor relationships and contract terms to mitigate the unit cost of claims processing through the plan.
  • Ongoing maintenance and interaction with vendors to ensure adherence with commitments and prudent implementation of programs and to achieve the most significant savings and effective management of year-over-year trend line.
  • Comprehensive audit services conducted by our in-house audit specialists.

We adhere to the highest ethical standards by recommending solutions to clients rather than vendors. We have no commitments to any single PBM firm or specialty pharmacy. Additionally, as stated in all contracts, we do not receive remuneration for the placement of business from any PBM, broker or other third party. Our experts are aligned with our clients’ objectives, so vendors know that they are treated fairly. We receive the most aggressive offers for clients and provide the best-suited solutions to address each client’s specific needs.

Your consultant should be as transparent as you expect your vendors to be.