PBM Optimization remains a critical focus for independent pharmacies. With the majority of pharmacy revenue flowing through Pharmacy Benefit Managers (PBMs), optimizing these claims is essential for maintaining profitability and ensuring compliance.
PBM Optimization goes beyond maximizing reimbursement. It should include protecting your earned revenue from audits in addition to ensuring you are compliant with PBM rules and any legal regulations. Here are our top 2024 resources for PBM Optimization.
Top 2024 Blogs on PBM Optimization:
- “The Pharmacy Owner’s Guide to Navigating PBM Headaches in 2025“
- PBMs are still in your future, so get a practical guide so they cause you fewer headaches.
- “Manufacturer Coupon Compliance“
- Learn the ins and outs and dos and don’ts of using manufacturer coupons for your PBM claims.
- Webinar “Medicare 2025 Changes” with Kyle Shinn
- Get the down low on Medicare plans and all the changes in this highly popular webinar.
- “DSCSA Implementation” from LSPedia and Dr. Lisa Faast
- Follow LSPedia for all DSCSA updates and regulation know-how.
Here are some of our favorite partners that can help with PBM Optimization:
- LSPedia
- Pricing Systems
- RJ Hedges
- Real Value Rx, BluPax, JamsRx, RxCherryPick, Pharmsource, Vaccine Connect, RxOne, and EzriRx can all help lower your COGS, which will help with profitability.
- RetailMyMeds
Please reach out to us at in**@*********rx.com and check out our membership levels HERE.
