Auditing your PBM is overwhelmingly an advantage. A well-structured audit can uncover hidden costs for your members. Verifying compliance ultimately protects both you and your organization from ERISA concerns.

At Crystal Clear Rx, we talk with plan sponsors every day who feel uncertain about what they’re actually paying for when it comes to their pharmacy benefit. Here’s our honest take, if it’s done right, a market check is one of the most efficient ways to protect your plan and ensure you’re not leaving money on the table.

The battle unfolding in Arkansas between two of the country’s largest PBMs, Express Scripts and CVS Caremark, and the state government is more than pharmacy ownership. It is about transparency, accountability, and who ultimately controls the pharmacy benefit supply chain.

The recent Federal Trade Commission (FTC) complaint against the three largest pharmacy benefit managers (PBMs) has brought critical issues surrounding insulin pricing and patient access to the forefront.

Managing the Costs of GLP-1 Drugs: A Strategic Approach June 2024At Crystal Clear Rx (CCRx), we understand that the rising popularity and costs of GLP-1 drugs have raised many questions and concerns. We aim to provide clarity and guidance on managing these expenses...

What Is The Right Copay Strategy? January 2024Crystal Clear Rx clients know that effectively managing the pharmacy benefit involves more than just PBM pricing. Utilization, Drug Mix, and Plan Design also impact the amount of money the Plan spends on their pharmacy...

The “Skinny” on Weight Loss Drugs November 2023A lot of attention has been given lately to a new class of drugs called GLP-1’s. These drugs are increasingly being prescribed for type 2 diabetes and weight loss. Most Crystal Clear Rx clients cover these drugs for...

What to look for in a Pharmacy Benefit Consultant November 21, 2023Nobody wants to pay more than they should for any product or service. So, when many companies become concerned over pharmacy benefit costs, they may look for a Pharmacy Benefits Consultant or firm who...

Walgreens and CVS pharmacist Walk-outs October 30th, 2023You may have recently seen news stories regarding pharmacist walk-outs at both Walgreens and CVS, and the potential for further work stoppages in the future at both of these companies, and potentially at other...

Choosing a PBM September 2023 One of the primary services CCRx offers prospective clients is to assist them in the selection of a new pharmacy benefit manager, or PBM. Sometimes we are asked to utilize a Request for Proposal (RFP) process to narrow down the field of...