Our Customers

Dear Brokers, Say Hello to the Best Pharmacy Benefits Consultants and Management Services You’ve Ever Experienced

If you are a broker, the following service offerings are ready and available for your convenience:

Pharmacy Benefits Management Services Expertise:
PENSA can provide brokers with a PBM Request for Proposal expertise, analysis and implementation of selected solutions. In addition, we can work with brokers to negotiate more favorable terms on their existing contracts. How so?

A Six-Pointed Plan from Your Pharmacy Benefits Consultants

1 - Discovery

  • Review pharmacy benefit plans
  • Analyze competitiveness to best practices
  • Analysis and development of pharmacy benefit cost containment strategies
  • Vendor procurement of PBM services
  • PBM vendor contract negotiations

2 - Vendor Procurement

  • Development of client-specific Request for Proposal (RFP)

3 - Analysis

  • In-depth analysis of vendor RFP submissions (Technical, Operational, Financial, Account and Customer Service, Performance Guarantees)
  • Modeling of proposed financial offers per contract terms
  • PBM vendor selection guidance

4 - Contract Negotiations

  • Negotiates Best in Class terms on behalf of the client, based on current market trends. (Technical, Operational, Financial, Account and Customer Service, Performance Guarantees)

5 - Implementation

  • Develop outline of specific tasks and timelines
  • Manage weekly implementation conference calls with vendor and client
  • Resolution of outstanding issues
  • Assure appropriate implementation of contract terms
  • Comprehensive pre “Go-Live” implementation test

6 - Oversight & Performance Management

  • Continuous oversight of PBM performance
  • Handle specific pharmacy benefit issues on a daily basis
  • Analysis and recommendation of quarterly PBM recommended formulary drug charges
  • Annual review and reconciliation of client-specific performance guarantees and resolution with PBM (e.g. GER, GDR, rebates, etc.)
  • Review and development of recommendations regarding PBM clinical programs (e.g. quantity level limits, prior authorizations, etc.)
  • Quarterly claims reimbursement validation