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Carving Out Pharmacy Benefits: When It Makes Sense, When It Doesn’t.

Carving Out Pharmacy Benefits: When It Makes Sense, When It Doesn’t.

by betvmsibg | Jun 26, 2025 | Drug Costs, Health Plan Costs, Health Plan Design, Pharmacy Benefit Managers (PBMs), Public Sector Benefits

As pharmacy costs continue to be one of the fastest-growing components of healthcare spend, employers are increasingly evaluating whether carving out pharmacy benefits from their medical plan makes strategic and financial sense. While the decision can offer greater...
GLP-1s, Gene Therapies and the New Frontier in Drug Costs: Navigating 2025 Renewal Pricing and Formulary Management

GLP-1s, Gene Therapies and the New Frontier in Drug Costs: Navigating 2025 Renewal Pricing and Formulary Management

by betvmsibg | Jun 12, 2025 | Drug Costs, Health Plan Costs, Health Plan Design, Pharmacy Benefit Managers (PBMs)

Groundbreaking therapies such as GLP-1 receptor agonists and advanced gene therapies have dramatically reshaped the cost structures for employee benefit plans. As organizations gear up for their 2026 benefit renewals, understanding these developments is crucial for...
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