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Your PBM contract outlines the legal rights,
responsibilities, obligations and recourses for all parties.
Yet often many aspects of the contract are never monitored
or enforced. Associates & Wilson can act as your advocate
to ensure the agreed to terms are fulfilled. Roles we play
include:
- Perform audits or act as subject matter expert during
the process and help target areas likely to produce opportunities
- Monitor performance penalty terms and evaluate or develop
reports to ensure standards are being met
- Evaluate and analyze reports to ensure terms of contract
are being met
- Monitor pricing levels for MAC, AWP, key medications,
etc. to ensure reasonableness when compared to other sources
- Monitor and report on all areas that qualify as a material
breach of contract, a key concept we include in all of
our vendor selection and negotiation assignments.
You and your members will receive better
service from your PBM by aggressively monitoring and managing.
Associates & Wilson are experts in this area. We can
guide your focus, protect your rights and outline improvements
your PBM must implement.
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