PBM (Pharmacy Benefits Manager) Toolkit

PBM (Pharmacy Benefits Manager) Toolkit

January 2017

Planning and implementation steps when using a Pharmacy Benefit Manager (PBM) to administer an ADAP. Sections cover:

What is a PBM?

  • Overview: PBM
  • ADAPs ands PBMs

Insurance and PMH Utilization

  • ADAPs and Insurance
  • Key Findings: Benefits Management Request for Information (RFI)

PBM: From Request for Proposal (RFP) to Implementation

  • Example of PBM Selection and Implementation, Step-By-Step
  • PBM Contact List
  • State Examples
  • PBM Contract Language Bank and Things to Consider