Pharmacy Management

Managing pharmacy costs effectively is becoming as important as managing the underlying medical expenses. The challenge becomes understanding the complexities of the pharmacy contract itself. There are many different components included in a PBM contract -- transparent versus traditional contract, admin fees, prorated payments, MAC pricing, the list goes on. At Marsh & McLennan Agency, we ensure that every component of the contract is negotiated with optimal deal terms. To further ensure that our clients have a model that delivers both the lowest cost and the highest level of service, MMA has created a dedicated division solely on pharmacy management. There are many areas of the PBM contract that can generate performance and cost saving opportunities and it is critical for employers to have a partner who can help uncover and identify those opportunities.

The MMA Difference

The traditional pharmacy management programs of the past have focused on the large "jumbo" sized employers, leaving a void for the mid-size employer. Recognizing this gap, MMA has established a model that meets the needs of the mid-sized employer, thereby allowing for real time access to eligibility and claim data and ultimately having more control over the pharmacy program.

As part of pharmacy management services, clients receive:

  • Best in class pricing through our management of over 100,000,000 pharmacy claims
  • Better cost and trend management over traditional and specialty drugs through deep dive proprietary analytics
  • Expert review and negotiations on pharmacy contracts
  • Innovative solutions specific to pharmacy management
  • More control over the plan
  • Ability to customize plan contract to reach desired goals
  • Performance management of the PBM

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