Pharmacy Benefits Consulting
RFP Services
The right PBM matters. Getting there requires an expert set of eyes to guide you through the process. We make it easy for you through claim driven “apples to apples” analytics and qualitative assessment, customized to your individual program and objectives.
Contract Negotiation
PBMs price to win business and contract to secure their margins. We are there to define and protect on clear contract language and to avoid the “million dollar“ clauses embedded in these agreements.
Client Support
Leaf Health’s approach is a high-touch, tailored Consulting model that aligns with your business and growth goals. We are there to aid in your vendor selection, benefit review and plan decisions. We establish a communication cadence in sync with your business and decision making cycles.
Innovative Strategies
Innovative Strategies
Innovative Strategies
Leaf recognizes the immense acceleration of changes in the market from Carrier and PBM consolidation, Rx rebates offered at the point of service and budget crushing specialty drug costs.
Leaf collaboratively develops important tools to improve our clients’ position.
Oversight
Innovative Strategies
Innovative Strategies
Leaf Health's pharmacy consulting services will assess the PBM’s financial performance via 100% claims monitoring to thoroughly analyze the PBM relationship for contract compliance.
· Verify network discount guarantees for brand and generic, including retail and mail order pricing
Assess specialty drug discounts
Confirm dispensing fees
Pricing audit that captures the entire calendar year and annual price guarantees offered by the PBM
Medical Rebates
Innovative Strategies
Medical Rebates
These are new monies available to Plan Sponsors addressing drug's utilized under the medical benefit. Contact Us about qualification and further details.