Pharmacy Benefit Management


Examine PBM business model including the customers they serve, the services they provide, and the products they manage.


Pharmacy Benefit Management companies, or PBMs, contract with health plans, self-funded employer groups, retail pharmacies, and specialty pharmacies. They manage formularies, process claims, provide utilization management and disease management services, and provide mail-ordered prescription services. PBMs also contract with pharmacies and pharmacy networks to serve members of health plans.