HOW WE WORK
PBMP helps employers, brokers and TPAs make sense of pharmacy cost challenges, explore relevant options and decide what to do next.
START WITH WHAT YOU KNOW
You do not need all the answers before we talk.
01 / START WITH THE PROBLEM
An expensive prescription. A renewal increase. A report that raises more questions than it answers. We start by understanding what is happening, then look at which options belong in the conversation.
Our approach, not a fixed service package.
02 / OUR APPROACH
We help turn “Why is this happening?” into “What can we do about it?”
01
Get past the headline number. Understand the information behind it.
02
Work out what deserves attention and which options are worth exploring.
03
Put the options on the table. Agree what happens next and who does what.
04
Look at what changed and what still needs attention, where ongoing support is included.
Scope and deliverables are agreed for your engagement.
03 / WORKING TOGETHER
Your broker knows the plan. Your HR team knows your people. PBMP brings pharmacy expertise and healthcare connections to help the team ask better questions and consider options they may not have explored.
Understand your pharmacy spend.
Bring more clarity to your clients.
Strengthen the benefits support.
Explore your Options.
Connect PBMP ecosystem.
PBMP Tailored™ — Powered by NavMD combines pharmacy claims analysis with PBMP’s expertise. We help interpret what is driving pharmacy spend and which opportunities deserve a closer look.
04 / GETTING STARTED
01
What is happening? What have you tried? What still needs an answer?
02
Discuss the scope, fees, timing and information needed.
03
Agree what the work includes, who is responsible and what to expect.
A specific prescription cost challenge can be a starting point. PBMP can help explore relevant options based on the medication, coverage and program eligibility. Potential savings and availability vary by situation.
PBMP can work alongside your existing broker, TPA and internal benefits team. Our role is to add pharmacy expertise and help your team evaluate practical options. Any proposed changes would be discussed as part of the work.
PBMP Tailored™ — Powered by NavMD focuses on pharmacy claims analysis, combined with PBMP’s expertise. Consulting can address the challenge, the options and the support needed to move forward. Whether Tailored is relevant depends on the work being considered.
Pharmacy is a core area of PBMP’s expertise. Broader healthcare needs can also be discussed, with relevant partners considered where appropriate. PBMP Tailored™ analysis is pharmacy-only.
Start with your role, company and a high-level description of the challenge. You can include a renewal date if it is relevant. Please do not send patient details, member IDs or claims files through the general enquiry form. Any further information and the appropriate way to provide it can be discussed during follow-up.
The scope and fees depend on the work being considered. We can discuss what support is relevant, what it includes and the proposed cost before an engagement is agreed.
Timing depends on the question, the information available and any partners involved. We can discuss the likely steps and timing once we understand the challenge. A single prescription question and a wider pharmacy claims review may involve different work.
A difficult prescription. A frustrating renewal. A question that keeps getting passed around. Tell us where you’re stuck.
Please do not submit patient details or claims files through the enquiry form.
Tell us a little about your business, and Rachel will connect with you to discuss how she can help.
