RxManager™Pharmacy Benefits Intelligence

Free tool

PBM Readiness Self-Check

Eight questions. See how audit-ready your pharmacy benefit is and where the gaps are. No account needed to get your score.

  1. 1Do you have a current copy of your full PBM contract, including every exhibit and attachment?

  2. 2Do you know how your contract defines “brand” and “generic”?

  3. 3Does your contract guarantee 100% rebate pass-through to the plan?

  4. 4Do you have audit rights, and have you used them in the last 24 months?

  5. 5Do you know your effective discount and dispensing fees by channel (retail, mail, specialty)?

  6. 6Is your pricing reconciled against an external benchmark such as NADAC?

  7. 7Do you have a clear list of what is missing before your next renewal?

  8. 8Do you keep a documented record of plan decisions for fiduciary purposes?

0 of 8 answered