About Us

The next generation of PBM services …

Pharmacy BenefitDirect is a custom alternative to traditional PBM services.  We eliminate the conflicts of interest inherent in the traditional full-service PBM industry. Providing a state-of-the-art administrative platform, BenefitDirect works with our clients in an advisory capacity to manage pharmacy benefit costs through balanced formularies, proper benefit design and complimentary services for cost effective outcomes. Our services include:

• Core Services
• Pharmacy Network Capabilities
• Clinical Services
• Reporting and Analysis
• Formulary and Rebates
• Consumer Tools

Pass through

For the past 25 years, BenefitDirect has employed the same service model to conduct our business:

• Our model provides clear pass through pricing from the payer to the pharmacy.
• We also pass through 100% of manufacturer rebates to our clients.
• All of the services provided by BenefitDirect are paid for in the form of a single administrative fee.
• There are no additional charges that show up after the contract is in place.

Our commitment is to be a trusted partner with our clients.

Accountability

We stand behind the quality of our work. Processes have been built into our model that ensures we bring our clients seamlessly through complex installations as well as regular plan changes. In addition, as a cash management administrator, we account for every penny of your plan’s spend.

Flexibility

BenefitDirect provides unparalleled flexibility in all aspects of plan design and administration. Our state-of-the-art systems allow for an infinite number of customizations, including formulary, plan design, reporting, clinical programs and more. The proprietary systems that support BenefitDirect’s core functionality allow our clients to make changes in days rather than months. This incredible level of flexibility, coupled with the single administration fee model, combine to make a product that ensures our clients have the options they need to grow and remain competitive in the marketplace.

Solutions

Experience is the key. BenefitDirect’s existing client types include: TPA’s, PPO’s, HMO’s; commercial, Medicare, Medicaid; private-label pharmacy benefit managers; OTC drug programs; discount card programs; generic card programs; coupon, voucher and preferred customer cards; coordination of benefits; 340B pricing, own use, HSA and FSA. Our administration fee service model and flexibility allow us to work with our clients to find the right solutions for their business. Other pharmacy benefit managers may not consider solutions that do not provide immediate value to their shareholders. BenefitDirect will consider any solution that is in our clients’ best interests.

Service

BenefitDirect provides a variety of ala carte services to accommodate the most sophisticated health plans. Our clients have the ability to choose from any of our various options:

• Customizable retail pharmacy networks
• Manufacturer contracting
• Formulary management with P&T support
• Clinical support services
• High quality customer service
• Mail order pharmacy options
• Specialty pharmacy solutions
• Comprehensive reporting packages

We work with our clients to ensure we meet all of their needs.

Consider the difference

Cost effective management of your pharmacy benefit design makes BenefitDirect superior to traditional PBMs. We are completely aligned with YOUR objectives and focused solely on YOUR goals – cost savings and benefit management. To view a comparison chart, click here.