Articles

From pharmacies to formularies, read the articles written by our experts on a variety of plan benefit-related topics.

Spring Cleaning Should Include the Medicine Cabinet

April 16, 2021

Is your medicine cabinet full of expired medications you no longer use? Too often, these unused prescription drugs find their way into the wrong hands. That can be dangerous! At Pharmacy Benefit Dimensions (PBD), our expert team of pharmacists recommend that your Spring-cleaning efforts should include disposing of your expired, unwanted or unused medicines.



Is Self-Funding Right for Your Small to Mid-Size Group?

March 30, 2021

The pandemic has taken a harsh economic toll on small to mid-size businesses. As the economy recovers, proactive cost savings suggestions through cuts and cost containment are key as you advise your groups on not only how to survive but prosper. In an effort to mitigate costs, health benefit plans will be scrutinized. More and more small to mid-size businesses (SMBs), those with 50 to 500 employees, are looking at self-funding to see if it is a viable benefits option and savings opportunity.



What are Star Ratings and Why do they Matter When Choosing a PBM?

March 30, 2021

The true standard of an effective pharmacy benefit manager (PBM) is its ability to serve patients and plan sponsors and lower overall health care costs. This is especially relevant and important when it comes to administering Medicare Part D prescription drug plans. But how do you know if your PBM is administering a well-performing plan and how do you compare their plan performance to other PBMs who may have similar offerings?



What is a Formulary and how are they Developed?

March 30, 2021

A formulary is a list of generic and brand name drugs that are covered by a health plan. Pharmacy Benefit Dimensions (PBD) offers several formulary options for both our self-funded and Medicare Part D Prescription Drug Plan (PDP) Employer Group Waiver Plan (EGWP) clients.



Why it Makes Sense to Consider a Pharmacy Carve-Out for Your Client’s Pharmacy Benefit Plan

March 11, 2021

A pharmacy carve-out with a Pharmacy Benefit Manager (PBM) is an opportunity for your clients to save money. Pharmacy carve-out models enable flexibility. Control over the individual PBM contract allows for customization of a pharmacy benefits plan specific to the plan sponsor’s needs that includes programs and services that impact overall costs and improve clinical outcomes.



How a PBM Differs from a PBO Pharmacy Plan

March 9, 2021

Pharmacy benefits are one of the highest expenses incurred by businesses and employees in the United States. Consumer Reports states that in 2019 prescription drug costs went up for at least 30 percent of Americans. Some individuals and families even find themselves deciding between buying their medications or paying rent. CMS.gov reports that prescription drug spending rose to almost $370 billion in 2019.



Clinical Programs Help Monitor Efficacy, Safety and Costs

February 25, 2021

At Pharmacy Benefit Dimensions (PBD), we offer more than administration of your client’s prescription drug programs. We also offer assistance in the form of clinical programs to help monitor for drug efficacy, safety and costs.



What You Need to Know About Specialty Medications

February 12, 2021

It’s no secret that specialty drugs continue to have a growing impact on the nation’s health care costs. While some estimates project that specialty medications only represent as little as 2.2% of all prescription volume, they also represent 50% of the nation’s total drug spend.