The following no-cost tools and resources were created to support employer efforts as they design specialty benefits; evaluate, select and contract with vendors; and integrate medical and pharmacy data:
Pharmacy Benefits Manager (PBM) Audit Recommendations: The types of benefit assessments/reviews commonly done and what elements should be included in a pharmacy benefit audit
PBM Contract Checklist: Criteria that should be included in a PBM contract to drive high performance and determine if your vendor is delivering results
Checklist for Designing Specialty Drug Benefits: Key elements to address when developing a specialty drug benefit and contracting strategy
Checklist for Site of Care: Guidance to determine if a site of care strategy is beneficial for your company
Consumer Education Strategy: Communications strategy for employees/plan members that offers an overview of available tools and resources, and strategy implementation and measurement recommendations.