Questions a Client Should Ask Its PBM

(Before asking these questions, please review the talking points designed for clients located on this website.)

• What is the amount you (the PBM) reimburse pharmacies for each adjudicated claim?
   

• What is the amount my company paid you (the PBM) for each of those adjudicated claims?
   

• What is the total amount of money you (the PBM) receive from drug manufacturers for placing their drugs on my formulary?
   

• What is my per member per month (PMPM) cost?