Pharmacy and PBM Optimization
Pharmacy and PBM Optimization
With our pharmacy and 340B optimization, we help employers and healthcare providers regain control of pharmacy spend and unlock hidden savings with 340B performance improvement, PBM contract optimization, and claims-level analytics.
Pharmacy is often one of the largest—and least understood—drivers of health plan costs.
Our approach combines financial analytics, clinical insight, and regulatory expertise to ensure every prescription dollar delivers value, not waste. We align pharmacy strategy with benefit design, integrate 340B operations, and create compliant, data-verified savings that sustain long-term financial health.
Proven, Measurable Impact
Demonstrated ability to generate multi-million-dollar 340B revenue growth and pharmacy savings through intelligent contract structure, program capture, and vendor accountability.
Integrated, Not Siloed
Pharmacy strategy is fully aligned with the health plan, not managed in isolation. We bridge PBM, 340B, and plan data to ensure coordination, compliance, and performance visibility.
PBM Contract Optimization and Rebate Transparency
We perform deep-dive audits of PBM pricing, formulary design, and rebate structures—exposing opaque spreads, identifying missed rebates, and negotiating equitable terms for plan sponsors.
Claims-Level Analytics—Powered by BENAT Systems™
Our proprietary technology analyzes every pharmacy claim for cost variance, tier inefficiency, and therapeutic substitution opportunities. We reveal insights that conventional broker dashboards miss.
Compliance-Minded Program Design
Each 340B and pharmacy engagement is structured around HRSA and manufacturer compliance frameworks to safeguard program integrity and maintain eligibility.
Our Approach
Analyze
– Integrate plan, PBM, and 340B data into a unified analytic environment to identify leakage and overpayment.
Optimize
– Reconfigure contract terms, formulary alignment, and pharmacy distribution strategies.
Capture
– Expand qualified 340B capture, manage referral pathways, and strengthen specialty pharmacy performance.
Validate
– Measure ongoing savings and compliance with quarterly BENAT Systems™ performance reports.
Results You Can Measure
Up to 60–80% improvement in 340B claim capture rates
Millions in annualized revenue reclaimed through contract realignment
15–25% reduction in pharmacy plan cost trend within the first year
Enhanced patient access and medication adherence across employer and provider populations
BENAT Advisory Services’ pharmacy and 340B optimization practice bridges financial strategy, regulatory expertise, and analytics precision. We don’t just reduce drug costs—we help organizations build a sustainable, compliant pharmacy model that improves access, accountability, and long-term value.