2026 Trends in Drug Benefit Design Report
PSG announces the results of its extensive research on the latest trends in drug benefit design. Plan sponsors face complex decisions and challenges…
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Categories
Topics
Modular PBA Considerations: Single Carve-Out Strategies For Payers
Carve-outs do not have to be an all-or-nothing decision. With a modular PBA model, payers can start by carving out a single pharmacy benefit…
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Driving Transparency to 340B Rebate Exclusions
A health plan was losing rebate dollars from improperly categorized claims. PSG’s rebate monitoring solution helped confirm rebate eligibility and recoup millions for the…
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Support For Your NCPDP D.0 To F6 Transition
How PSG Streamlines Your Pharmacy Benefits Implementation The transition from NCPDP D.0 to F6 is one of the most significant pharmacy transaction standards changes…
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5 Takeaways For Payers From The TrumpRx Launch
What Does TrumpRx Mean For Payers? Key Points TrumpRx launched February 5, 2026, offering cash-pay pricing for 43 drugs outside of insurance, with no…
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Guarantee Financial Performance Amidst PBM Contract Changes
When a PBM contract shifted to a single PMPM guarantee, PSG conducted a detailed audit to identify $2 million owed to the client. The…
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Uncover Hidden, Duplicate Drug Expenses
Quickly Identify Inappropriate Concurrent Use with Artemetrx Data and Analytics Key Points: Inappropriate concurrent medication use can drive unnecessary cost and increase safety risks,…
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Guide For Plan Sponsors: Enhancing Your PBM Procurement
How To Find The Right Pharmacy Consultant For You HR and benefits leaders face increasingly complex PBM decisions in today’s healthcare landscape. You’re tasked…
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2026 Formulary Changes: CVS Caremark
Get the Full Analysis of other Formulary Changes: Express Scripts Optum Rx The following is an…
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2026 Formulary Changes: Express Scripts
Get the Full Analysis of other Formulary Changes: CVS Caremark Optum Rx The following is an…
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2026 Formulary Changes: Optum Rx
Get the Full Analysis of other Formulary Changes: CVS Caremark Express Scripts The following is an…
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Flagging Hidden Anomalies in Your Pharmacy Benefits Data
A 400% utilization spike for a single drug outlier was identified through Artemetrx, allowing the plan to promptly prevent further leakage. The Challenge…
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