The traditional Pharmacy Benefit Management (PBM) model needs to be reimagined. We offer a more ethical solution.
Introducing the first and only non-profit public benefit corporation in the PBM space.
With our Medical Benefit Manager (MBM), you can enjoy the following features:
Guaranteed lowest available cost.
Provide discounts not offered to traditional, for-profit PBMs.
Full pass-through of all pharmaceutical discount value.
Fiduciary alignment, as we are legally obligated to prioritize your best interests over profit margins.
Design and manage your own pharmacy benefit program, choosing from an a la carte menu of services and programs.
Ensure appropriate use of prescription drugs.
Eliminate hidden financial spreads.
Transparency regarding true net cost.
Ensure the highest compliance with state and federal regulation.
Claims adjudication.
Pharmacy network negotiation.
Pharmaceutical manufacturer rebate negotiation.
Established direct-to-employer solutions.
Drive industry low PMPM spend.
Performance-based contracts with flexibility and exit clauses.
Governance by a community-based foundation with a board comprised of customers, partners, and employees.
No conflict of interest, as we do not own any of the drugs or pharmacies that distribute them.
A New Standard of Integrity, Accountability, and Transparency
As a certified B Corporation ("B Corp"), the mission to contribute to social good is cemented into our foundation. This status signals to stakeholders, customers, employees, and investors that the company is committed to responsible business practices that benefit people and the planet, not just shareholders.
We aim to work with our clients to implement leading-edge initiatives that offer stability and consistency in an investment-driven marketplace, as well as the assurance that all financial decisions are in the client's best interest.
How Our "MBM" is Different from Traditional "PBM"s
Enhanced drug benefit administration for self-insured plans
Dedication to improve the way drug benefits are designed, delivered, and managed to mitigate the unique concerns of self-insured plans. You can expect improved plan performance PMPM (i.e., true pharmacy benefit cost), transparent access to discounts and data, and enhanced overall quality of care.
Track rebate growth and savings
Guaranteed transparency and insight into rebates, data, and discounts to fully maximize savings and quality of care through improved formulary administration.
Appropriate prescription drug use is first and foremost rather than driving utilization
Instead of chasing rebates, the focus is to channel prescription use into the most clinically effective option. This philosophy lowers PMPM net cost for clients and improves their members' health.
All agreements have a "without cause" termination clause, allowing for increased confidence in providing the best service at the lowest cost.
Clients receive all the rebates owed to them even after contract termination.