Are You Sure Your PBM Is Really on Your Side?

Navigating pharmacy benefits can feel like learning a foreign language. Terms like "transparent PBM" and "fiduciary aligned" get thrown around constantly, but what do they actually mean?

More importantly, does your contract back it up?

At DisclosedRx, we're not just talking about industry buzzwords. We actively challenge the traditional PBM model. Here's what you need to know.

Transparency Isn't Enough

Many PBMs market themselves as "transparent," and on the surface, that sounds reassuring. But transparency alone doesn't prevent hidden fees, spread pricing, or backroom deals. Just because you can see a rebate or pricing adjustment doesn't mean it's truly in your plan's best interest.

Even "fiduciary aligned" is a phrase that deserves scrutiny. Ask yourself:

• What does your PBM contract actually say?

• If third-party programs are layered on top of your plan, are they fiduciaries too?

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Without careful review, you may assume your PBM has your back when in reality, their fiduciary duty is to their shareholders, not to you or your members.

We're Opposed to the Traditional Model

DisclosedRx takes a fundamentally different approach. We do not accept rebates, hidden fees, or third-party kickbacks. Why? Because the traditional model is misaligned with your interests:

• When you accept a rebate from a PBM, you've already overpaid for the drug in the first place.

• That rebate is essentially an interest-free loan to the PBM, not a benefit to your plan.

  
  

We earn only from our clients, put our fees at risk, and guarantee savings. Every decision we make is filtered through one question: What's the right way to do it for the plan and its members?

What This Means for Your Plan

If your PBM is playing by the traditional rules, you're likely paying more than necessary and taking on unnecessary risk. Moving to a truly fiduciary partner is a protective, strategic move for your plan and your members.

At DisclosedRx, The Fiduciary and Fully Disclosed PBM®, we've designed a model that delivers Full Disclosure, alignment, and measurable savings. It's time to rethink what a PBM can and should be.

Want to see exactly where your plan can save?

Send us a message on LinkedIn.