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Pharmacy Benefits Manager
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Livian can help clients address the many issues surrounding pharmacy benefits. We provide a variety of services and follow-up support to help clients plan, initiate, and maintain a pharmacy benefits program. Our consultants can assist with every part of the process, including:
- PBM vendor request for proposal (RFP). We help with vendor selection, including RFP development, PBM bidder selection, RFP fulfillment, proposal evaluation, and finalist selection.
- PBM contracting. We help clients write, negotiate, analyze, and audit their contracts with PBMs. We bring an understanding of the ongoing changes and current cost factors in the pharmacy benefits industry and use it to help clients obtain the most favorable contracts and the best pricing possible.
- Pharmacy plan design. We help clients create and analyze a robust and effective pharmacy benefits plan model that also provides flexibility and affordability for both plan sponsor and plan members.
- PBM implementation oversight. Once a PBM vendor has been selected, we provide PBM implementation oversight to ensure a smooth transition to the new PBM with minimal member disruption.
- PBM audit services. We are available to help clients audit their PBM arrangements to validate that the PBMs are meeting the contractual integrity and financial obligations. We routinely perform audits of pharmacy claims, rebates, retiree drug subsidy (RDS), prescription drug event (PDE), performance guarantee (PG), corporate compliance, and data validation.