In just 10 months into a new health plan a small 120 life employer group has paid $56,324.55 for two drugs, (Monjaro and Dupixent) when instead the plan could have paid $26,333.38 for the same drugs, same dosage, from the same manufacturer.
Now $29,991.17 is gone forever, flowing to someone, somewhere, somehow. Isn’t that something?
PBMs are lousy at sourcing the lowest cost drugs. Saving money on drugs is all about sourcing. Once we saw the claim report it took us less than 10 minutes to source these two drugs for best pricing that come with a guaranteed same day or next day delivery.
Isn’t that something?
