A Path to Funding Social Services Without Raising Taxes

Municipal leaders across the country share a common challenge: how to expand social services without raising taxes or cutting existing programs. Traditionally, options have been limited to three difficult choices:

1. Eliminate or reduce existing services

2. Increase taxes

3. Better manage existing service costs

   
   

The first two options are politically risky. But the third, optimizing costs, is an often-overlooked opportunity, particularly in how municipalities manage pharmacy benefits.

The Untapped Power of Fiduciary Pharmacy Benefit Management

Many municipalities unknowingly lose millions each year due to opaque and self-serving practices by traditional Pharmacy Benefit Managers (PBMs). Fiduciary PBMs operate differently. By prioritizing Full Disclosure and aligning with the municipality's financial interests, Fiduciary PBMs offer a path to real savings without cutting benefits or increasing employee contributions.

We have shown that municipalities can save approximately $4 million per 10,000 members simply by switching from a traditional PBM to a fiduciary model.

These savings are achieved through:

• Full disclosure of all drug costs and rebates

• Optimal sourcing strategies

• Proactive member support and navigation services

  
  

Unlike traditional PBMs, the fiduciary model includes:

• A flat administrative fee

• 100% pass-through of rebates and drug pricing

• No hidden fees, price spreads, or disguised revenue streams

  
  

A Sustainable Solution

We help municipalities transform their pharmacy programs from a financial liability into a strategic asset. Our approach strengthens their community services, supports their frontline employees, and maintains fiscal discipline, all without raising taxes or cutting services.

The solution is here. It’s time to rethink what’s possible.