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Negotiating with Pharmacy Benefits Managers

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Brooke Salazar, JD Sr. Director of Compliance profile photo
By Brooke Salazar, JD Sr. Director of Compliance
 on June 26, 2026
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Pharmacy Benefit Manager (“PBM”) contracts are complex, but the approach to negotiating them should be clear, practical, and aligned to business outcomes. This session is designed to give HR leaders, and benefits professionals a strategic framework for evaluating and negotiating PBM agreements with confidence.

Gain clear, actionable strategies to reduce pharmacy spend, improve vendor accountability, and position yourself as a more effective, credible partner in driving both compliance and business results. Beyond the technical knowledge, this session is designed to strengthen your value as a strategic partner.

  • HR professionals will be better equipped to guide leadership conversations around cost control and risk.
  • Brokers and advisors will gain practical insights they can use to differentiate themselves, deepen client relationships, and build a stronger, more competitive book of business.

This session is built for professionals who want to move beyond theory and walk away with actionable guidance they can apply in real contract discussions.

Topics Will Include:

PBM Fundamentals Made Simple: Understand the core definitions and pricing structures that drive pharmacy spend, including rebates, spread pricing, and pass-through models

Clauses to Review and Prioritize: Identify the contract provisions that most directly impact cost, transparency, and control, such as audit rights, rebate definitions, formulary management, and performance guarantees **Get a PBM Checklist for You to Use Going Forward

CAA Top Line PBM Requirements: Understand the top line transparency and reporting requirements under the CAA, and what they mean for employer oversight and accountability