Today, specialty drugs are dominating the amount of spending in the pharmacy benefit and payers are demanding PBM contracts that provide cost savings while ensuring these medications are accessible. (Photo: Shutterstock)

Employers in today’s health care market are faced with the difficult challenge of balancing access to innovative, life-saving, and preventative medicines for consumers, while keeping costs at a sustainable level

Over the last 20 years, as these new treatments entered the market, creating a cost and access dilemma, those providing coverage – employers, unions, and government programs – realized the value in hiring pharmacy benefit managers (PBMs) to meet the health needs of their respective enrollees. 

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