Consulting Services
Make More Informed Pharmacy Benefit Decisions
Every pharmacy benefit program has its own contract terms, cost drivers, utilization patterns, and organizational priorities. Are PBM guarantees being met? Does current reporting provide enough information to make decisions? Are formulary, specialty drug, and benefit design choices supporting the needs of both the organization and its members?
Sandia Rx Analytics provides independent, pharmacist-led consulting to help employers answer these questions, interpret PBM information, evaluate available options, and prepare for contract, renewal, and benefit decisions. Each engagement is built around the organization’s specific needs rather than a predetermined audit scope.
How We Can Help
Consulting is designed for employers that need an informed answer, an independent second opinion, or support with a specific pharmacy benefit decision. Engagements may include a focused consultation, document review, or defined advisory project based on your needs.
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Bring us a PBM report, pricing question, claim issue, contract provision, or recommendation that needs independent interpretation. We help explain what it means, what should be verified, and what questions to ask next.
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We review selected contract terms, pricing guarantees, fee language, rebate provisions, and renewal proposals. Employers receive an independent perspective on areas that may require clarification, documentation, or further negotiation.
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Get support when evaluating, changing, or preparing to work with a PBM. Sandia Rx can assist with requirements, proposal comparisons, implementation questions, and transition planning.
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A pharmacist reviews utilization trends, formulary decisions, specialty medications, and other cost drivers to help leadership understand the clinical and financial considerations behind a benefit decision.
Pharmacy Benefit Consulting Built Around Your Needs
Trend reporting and opportunity identification
Pharmacy cost and utilization analysis
Specialty and high-cost medication review
Performance & Cost Insight
PBM performance and reporting review
Operational oversight support
CAA documentation and governance support
PBM Oversight
PBM contract and renewal review
Market benchmarking and market checks
RFP, proposal, and negotiation support
Contract & Market Support
Formulary guidance
Benefit design considerations
Clinical and financial decision support
Clinical & Benefit Strategy
Request a Consultation
Tell us what you are trying to solve. We’ll follow up to determine whether a consultation, focused document review, or pharmacy benefit audit is the right next step.
