MedBen Rx is the fastest growing division of MedBen — and for good reason. Here’s how we stack up against traditional PBMs:
CORE STRENGTHS OF MEDBEN RX OVER TRADITIONAL MODELS
True Transparency & Pass-Through
Traditional PBMs frequently use “spread pricing” (billing the employer more than they pay the pharmacy) and retain portions of manufacturer rebates. MedBen Rx eliminates this by passing 100% of paid rebates and using transparent acquisition cost pricing. Employers see exactly where every dollar goes.
Lower Overall Costs
- MedBen Rx clients spend, on average, 25.1% less on pharmacy benefits than those using other PBMs.
- Lower five-year cost trend (4.6% — significantly below the 8.6% average of other PBMs).
Clinical Focus & Appropriateness
Traditional PBMs often prioritize high-rebate drugs, which may not deliver the best clinical value or price. MedBen Rx uses high-value formularies based on evidence-based research, promoting generics, biosimilars, and the most effective therapies — leading to better outcomes and lower spend.
Specialty, High-Cost and Biosimilar Drug Management
MedBen Rx’s Benefit Preservation Program actively connects members with manufacturer assistance and foundations, reducing plan and member costs for specialty drugs without restricting access. And MedBen Rx continues to expand its biosimilar offerings as new options become available.
Employer & Member Experience
- Full data visibility and analytics.
- User-friendly tools that help members find lower-cost options.
- Flexible integration for self-funded plans.
Bottom Line
Traditional PBMs often operate with misaligned incentives that can inflate costs. MedBen Rx aligns incentives through radical transparency, clinical rigor, and full pass-through — helping employers take control of one of their fastest-growing expense categories.
If you’re evaluating options, MedBen Rx is particularly strong for self-funded plans seeking simplicity, accountability, and sustainable savings. Contact your broker or MedBen Rx for a custom analysis against your current PBM.