MedBen
  • About Us
    • MedBen Advantage
    • ISO 9001:2015 Certified
    • Career Opportunities
    • Contact Us
  • Employers
    • Online Services
    • Forms
    • Formularies
    • Networks
  • Members
    • Online Services
    • Forms
    • Formularies
    • Networks
  • Brokers
  • Providers
    • MedBen Access Provider Portal
  • Our Services
    • Medical Benefits Administrators
    • Alternative Reimbursement Strategies
    • MedBen Rx
    • MedBen Analytics
    • MedBen WellLiving
    • COBRA and Consumer-Driven Health Plans (FSA/HRA/HSA)
    • MedBen PreceDent and VisionPlus
  • Resources
    • Section 1557 Resources
    • No Surprises Act Resource Center
    • MedBen Blog
    • Case Studies
    • Online Services
    • Pharmacogenomic/Nutrigenomic Tests
    • FSA/HSA Store
    • Forms
    • Network Directories
    • Social Media
    • WellCare Newsletter
  • MedBen Access
Select Page

MedBen Rx Cuts Client’s First-Year Pharmacy Costs Nearly in Half

Dec 1, 2025 | Case Studies, Cost Savings, MedBen Rx, Patient assistance, Patient coupons, Pharmacy, Pharmacy Benefits Manager (PBM), Rx Costs, Savings

A new MedBen Rx client realized $1.19 million in combined plan and member savings in their first year – a 45.7% reduction, surpassing the $1.05 million projected savings. Per-member-per-month (PMPM) pharmacy costs tell the story: $233 under the previous PBM vs. just...

States Push PBM Reform to Support Struggling Independent Pharmacies

Oct 6, 2025 | Independent pharmacies, Legislative, Pharmacy, Pharmacy Benefits Manager (PBM), Prescription, State legislation

Independent pharmacies across the country are facing financial strain, with many closing their doors due to unsustainable reimbursement rates and restrictive practices imposed by the major pharmacy benefit managers (PBMs). In response, states are taking legislative...

A Clear Path to Lower Pharmacy Costs

Sep 22, 2025 | Cost Savings, Drug costs, MedBen Rx, Pharmacy, Pharmacy Benefits Manager (PBM), Prescription, Rx Costs, Savings, Transparency

Across the country, more employers are moving away from traditional pharmacy benefit managers in favor of transparent solutions. MedBen Rx has been ahead of this trend for years, offering clients clarity and lower costs that others are only now beginning to seek. A...

AMA Raises Concerns Over PBM Market Concentration

Aug 25, 2025 | Cost Savings, Drug costs, MedBen Rx, Pharmacy, Pharmacy Benefits Manager (PBM), Rebates, Rx Costs, Transparency

A new paper from the American Medical Association (AMA) has found that the pharmacy benefit manager (PBM) marketplace remains highly concentrated, with just a few major players controlling most of the activity. Many of these PBMs are vertically integrated with health...

Major PBMs Are Blocking Biosimilar Savings, but MedBen Rx Offers a Better Path

Jul 29, 2025 | biologics, Biosimilars, Cost Savings, MedBen Rx, Pharmacy, Pharmacy Benefits Manager (PBM), Prescription, Rx Costs, Savings

The advantages of biosimilars – clinically equivalent versions of high-price biologic drugs – have been known for years. But despite their growing availability, adoption remains slow… in no small part because major PBMs are stifling uptake....

Price Check: How the U.S. Compares Globally on Prescription Costs

Jun 16, 2025 | Drug costs, Pharmacy, Pharmacy Benefits Manager (PBM), Prescription, Rx Costs

A recent Statista article examines the disparity in prescription drug spending across countries. The Organisation for Economic Co-operation and Development (OECD) ranks the United States highest in average spending, at $1,218 per resident – over $200 more than...
« Older Entries

Search the Blog

Categories

  • Access solutions
  • Account Management
  • Accounting and Finance
  • Acquisition Cost Index (ACI) pricing
  • Administrative Services Only
  • Adverse selection
  • Affordability safe harbor
  • Affordable Care Act
  • Air medical transports
  • Algorithms
  • Allergies
  • Alternative Plan Design
  • Alternative Reimbursement Strategies
  • American Heart Association (AHA)
  • American Rescue Plan Act (ARPA)
  • Ancillary services
  • Anniversaries
  • Announcements
  • Appeals
  • Appropriateness Solutions
  • Artificial Intelligence
  • Aspirin
  • Asthma
  • At-home colon cancer tests
  • Avande
  • Balance billing
  • Bariatric surgery
  • Benchmarks
  • Benefits Advisory Conference
  • Benefits management
  • Benefits preservation
  • Billing
  • biologics
  • Biometric recognition
  • Biosimilars
  • Birth Control
  • Blood pressure
  • Brand Name Drugs
  • Breast cancer
  • Brian Fargus
  • Brokers
  • Brooke Hupp
  • Bundled Payments
  • Bundled Reports
  • Cadillac Tax
  • Cafeteria plans
  • Cancer
  • Caroline Fraker
  • Carve-outs
  • Case management
  • Case Studies
  • Centers for Disease Control (CDC)
  • Centers for Medicare & Medicaid Services (CMS)
  • Cervical Cancer
  • Change Healthcare
  • Chat
  • Cholesterol
  • Chronic conditions
  • Claims
  • Claims data
  • Claims Management
  • Claims negotiation
  • Client Feedback
  • Client Report
  • Client satisfaction
  • Client Services
  • Client Surveys
  • COBRA
  • Coinsurance
  • Colon Cancer
  • Colonoscopy
  • Columbus Business First
  • Communication
  • Comparative Effectiveness
  • Compliance
  • Concierge services
  • Conferences
  • Consolidated Appropriations Act of 2021 (CAA)
  • Consultants
  • Consumer-driven Health Plans
  • Contact lenses
  • Coordination of Benefits
  • Copayments
  • Coronavirus
  • Coronavirus Aid, Relief, and Economic Security (CARES) Act
  • Cost management
  • Cost Plus Pricing
  • Cost projections
  • Cost Savings
  • COVID-19
  • Customer Service
  • Cybersecurity
  • Deadlines
  • Debit Cards
  • Deductibles
  • Dementia
  • Demographics
  • Dental
  • Department of Health and Human Services (HHS)
  • Department of Labor
  • Dependent care assistance plan (DCAP)
  • Diabetes
  • Dialysis
  • Diet
  • Direct-to-Employer Contracting
  • Discounts
  • DNA
  • Doug Freeman
  • Drug advertising
  • Drug costs
  • Drug reimportation
  • Drugmakers
  • e-File
  • Electronic forms
  • Emergency Room (ER)
  • Employee benefits
  • Employee Retirement Income Security Act (ERISA)
  • Employer Dashboard
  • enCompass
  • Enrollment
  • Exercise
  • Explanation of benefits (EOB)
  • Eye care
  • Fair Market Pricing
  • Fair market reimbursement
  • Families First Coronavirus Response Act (FFCRA)
  • Family and Medical Leave Act (FMLA)
  • Family doctors
  • Federal Trade Commission (FTC)
  • Filters
  • Flexible spending accounts (FSAs)
  • Flu Shots
  • Food and Drug Administration (FDA)
  • Forensic claims analysis
  • Forensic claims review
  • Form 1094
  • Form 1095
  • Forms
  • Formularies
  • Fraud
  • FSA Grace period
  • FSA Store
  • Fully Insured
  • Gag Clause
  • Gastrointestinal issue (GI)
  • Gene therapy
  • Generic Drugs
  • Genetic testing
  • Genomics
  • Giving Back
  • GLP-1s
  • Government
  • Health Benefits
  • Health care costs
  • Health Care Reform
  • Health flexible spending account (FSA)
  • Health insurance exchanges
  • Health Plan Management
  • Health reimbursement arrangements (HRAs)
  • Health Savings Accounts (HSAs)
  • HealthJoy
  • Healthy habits
  • Heart
  • Heart disease
  • High-cost claims
  • High-Deductible Health Plans (HDHPs)
  • High-value formulary
  • HIPAA
  • HITECH
  • Hospital Service Association
  • Hospitals
  • HSA Store
  • Humalog
  • Humira
  • Hypertension
  • ICD-10 diagnosis code
  • ID Card
  • Implementation
  • Incentives
  • Independent Dispute Resolution (IDR)
  • Independent pharmacies
  • Inflation
  • Influenza
  • Information Systems
  • Innovations
  • Insulin
  • Interactive Features
  • IRS
  • ISO
  • JOY
  • Kentucky
  • Kurt Harden
  • Lasers
  • Lawsuits
  • Legislative
  • Leveraged trend
  • Lifestyle
  • Limited use HRA
  • Lobbying
  • Luke Burchard
  • Marketing
  • Mastectomy
  • MDMA (ecstasy)
  • MedBen Access
  • MedBen Analytics
  • MedBen Basics
  • MedBen Blog
  • MedBen Board of Directors
  • MedBen Connect
  • MedBen Employees
  • MedBen Executive Staff
  • MedBen News
  • MedBen PreceDent
  • MedBen Rx
  • MedBen Rx Advocate
  • MedBen Rx Alliance
  • MedBen Secure
  • MedBen University
  • MedBen VisionPlus
  • MedBen WellLiving
  • MedBen.com
  • Medical
  • Medical Benefits Administrators
  • Medical Benefits Mutual
  • Medical necessity
  • Medicare
  • Member engagement
  • Member Prescription Portal
  • Memorial Day
  • Mental Health
  • Mental health parity
  • Mental Health Parity and Addiction Equity Act (MHPAEA)
  • Mobile App
  • Mounjaro
  • MSK
  • Municipalities
  • Networks
  • New Solutions
  • News
  • No Surprises Act (NSA)
  • Non-quantitative treatment limitations (NQTLs)
  • Nutrigenomics
  • Obesity
  • Ohio
  • Online Services
  • Opinions
  • Out of network
  • Out of pocket
  • Over-the-counter (OTC) drugs
  • Own Use
  • Ozempic
  • Pap smears
  • Patient advocacy program
  • Patient assistance
  • Patient coupons
  • Payer Compass
  • PCORI
  • Perigon Pharmacy 360
  • Personal protective equipment (PPE)
  • Pharmacogenics
  • Pharmacogenomics
  • Pharmacy
  • Pharmacy Benefits Manager (PBM)
  • Pharmacy Services Administrator (PSA)
  • Plan administrators
  • Plan changes
  • Plan compliance review
  • Plan Design
  • Plan Language
  • Plan members
  • Plan performance
  • Precertification
  • Precision medicine
  • Preferred provider organization (PPO)
  • Premiums
  • Prescription
  • Prescription Portal
  • President's Note
  • Preventive Care
  • Pricing solutions
  • Primary Care
  • Prior Authorization Services
  • Privacy
  • Private employers
  • Promotions
  • Protected health information (PHI)
  • Proven solutions
  • Provider networks
  • Psychedelic drugs
  • Qualified small employer health reimbursement (QSEHRA)
  • Qualified transportation fringe benefits
  • Quality
  • Rebates
  • Reference-Based Pricing
  • Regional Sales Managers
  • Regulatory
  • Reminders
  • Report Manager
  • Reporting
  • Reproductive health care
  • Rescission of Coverage
  • Research
  • Resources
  • Reviews
  • Roundtables
  • Rx Costs
  • RxDC report
  • Sales
  • Savings
  • Security
  • Self-funding
  • Semaglutide
  • SHRM
  • Sleep
  • Smoking
  • Social Media
  • SPBA
  • Specialist
  • Specialty Care
  • Specialty Drugs
  • Spending
  • Spousal limitations
  • Spread Pricing
  • Stability
  • State legislation
  • Stelara
  • Stop-Loss
  • Stroke
  • Study
  • Subrogation
  • Substantiation
  • Summary of Benefits & Coverage (SBC)
  • Supreme Court
  • Surprise Billing
  • Survey
  • Technology
  • Telehealth
  • Telemedicine
  • The Phia Group
  • Third party administration
  • Transparency
  • Transplants
  • Treasury Department
  • Trend
  • TruDataRx
  • Trulicity
  • Uncategorized
  • Unwrapped
  • Urgent Care
  • USPSTF
  • Utilization review
  • Vaccinations
  • Value
  • Ventegra
  • Virtual care
  • Vision
  • VisionPlus
  • Vitamins
  • Webinars
  • Wegovy
  • Weight loss
  • Weight loss drugs
  • Weight management
  • WellCare
  • Wellness
  • Wellness compliance
  • Wellness exam
  • Wellness screenings
  • Wendell Crain
  • White paper
  • Women's health
  • Zelis
  • Zepbound
  • About Us
  • MedBen Advantage
  • Career Opportunities
  • Contact Us
  • Employers
  • Members
  • Brokers
  • Providers
  • Our Services
  • MedBen Administrators
  • Alternative Reimbursement Strategies
  • MedBen Rx
  • MedBen Analytics
  • MedBen WellLiving
  • PreceDent/VisionPlus
  • COBRA and Consumer-Driven Health Plans (FSA/HRA/HSA)
  • MedBen Blog
  • Privacy

Sign Up for our Newsletter

  • This field is for validation purposes and should be left unchanged.
Twitter
Facebook
LinkedIn
Instagram
© 2025 MedBen. All rights reserved.