Pharmacy Benefits Consulting

For Employers

How does your pharmacy benefits contract measure up to other companies your size? How about compared to Health Strategy’s best practice contract? If your perspective is limited to the details of your own plan, it’s time to expand your view. Health Strategy offers you vast market intelligence to maximize the value of your pharmacy benefit investment.

Save 10-20% on
your total
pharmacy spend

Self-funded employers who work with us typically save 10-20% in the first year of a new contract. Locking in market competitive rates is an important factor, but so is clarifying critical definitions and pricing conditions. The clearer your contract, the more you can avoid costs or find savings.

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Get help pushing back against one-sided contracts.

Pharmacy benefit managers (PBMs) create most contracts, and the PBMs often have incentives that conflict with yours. Health Strategy ensures a better balance of benefits and costs—for your employees and company. Plus, with our experience, you’ll know when and where it’s most appropriate to keep negotiating—or move on.

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You’ll benefit from deeper analysis and greater customization.

Health Strategy models more than 35 cost factors when analyzing your situation and possible savings. We dig deep to understand your specific needs and ensure you achieve the most competitive deal possible. Our customized recommendations maximize your savings without sacrificing quality or the priorities of your company and employees.

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Enjoy an unparalleled level of support.

Health Strategy provides a comprehensive set of services before and after your pharmacy benefits contract is signed. This includes:

  • Managing a contract renegotiation
  • Running the RFP process and evaluating bids
  • Conducting a Contract Vulnerability Assessment (CVA)
  • Detailing your Savings Feasibility Assessment (SFA)
  • Advising on PBM-proposed amendments to your current contract
  • Consulting on plan design optimization opportunities
  • Advising on new-to-market or high-cost drug situations
  • Providing quarterly reports to track PBM performance
  • Completing a financial reconciliation at the end of each year

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It’s always a good time to explore savings and improvements.

It doesn’t matter if your pharmacy benefits contract is expiring in three months or three years. Health Strategy can help you identify vulnerabilities, quantify savings opportunities, and prepare you for a contract renegotiation—or the RFP process, if necessary.

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“Tyson Foods has partnered with Health Strategy for over seven years resulting in millions of dollars saved for our Pharmacy Plan and participants.

With Health Strategy’s expertise, we have developed a unique benefit design and custom formulary driving a best-in-class GDR and improved network, clinical and participant behavior performances. They have filled the knowledge gap for Tyson Foods, and continue to show value through ongoing audits and proactive strategies. Health Strategy’s in-depth knowledge and experience in the pharmacy supply chain makes them cutting edge in the pharmacy consulting marketplace.”

–Tina Foster, Sr. Director, Benefits, Tyson Foods

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