Navigating the profit tactics of PBMs is key to controlling costs without compromising patient care. 📊💡 Volume 90 of 'Unlocking the Secrets of PBMs' dives into strategies that employers and brokers need to know to keep their PBM partners accountable. 💼💊 Check out the latest insights and stay ahead of the game! 🔍 #PBM #PharmacyBenefits #HealthcareCostManagement #FiduciaryResponsibility #EmployeeBenefits #CPBS #PBIA #TransparentRx
About us
Founded in 2009, TransparentRx helps unions, health plans, health systems, commercial and public sector employers reduce pharmacy costs, up to 50%, without cutting benefits or shifting costs to employees. In addition, TransparentRx offers companies the opportunity to maximize drug spending internally through our Certified Pharmacy Benefits Specialist (CPBS®) designation. Our students develop a strong understanding of pharmacy benefit management, including how to develop an overarching pharmacy benefit strategy and understanding the landscape of the various domains. These newly acquired skills are then transferred to your organization, making the pharmacy benefit less costly and more measurable. TransparentRx provides a fully transparent and fiduciary pharmacy benefit management service, which means only an administrative fee (our sole source of revenue) is earned for processing and managing our clients' pharmacy benefits. Rebates are passed back 100 percent of the payor, there is no network spread and generic medication costs are more competitive than industry norms. Here are some of the benefits of the fiduciary business model offered by TransparentRx: ● We guarantee you pay $78 PMPM or less ● We make it easy to reconcile paid claims with invoices ● We connect with any TPA and do the heavy lifting ● 65,000+ retail pharmacy network ● Specialty and Mail Pharmacy ● In-house alternative funding program ● Medication Therapy Management Program ● Pharmacogenomics Program TransparentRx is America's first fiduciary PBM. Contact us at (866) 499-1940 #4, or sales@transparentrx.com.
- Website
-
https://www.transparentrx.com
External link for TransparentRx
- Industry
- Education
- Company size
- 11-50 employees
- Headquarters
- Las Vegas, Nevada
- Type
- Privately Held
- Founded
- 2009
- Specialties
- Pharmacy Benefits Management, Mail-Order Pharmacy, Formulary Management, Benefit Plan Design, Specialty Pharmacy, Medication Therapy Management, Disease Management, PBM Consulting, Claims Adjudication, and Pharmacy Network Management
Locations
-
Primary
3960 Howard Hughes Parkway
Suite 500
Las Vegas, Nevada 89169-5988, US
-
2202 N Westshore Boulevard
Suite 200
Tampa, Florida 33607, US
Employees at TransparentRx
-
Tyrone Squires, CPBS
Helping commercial and public sector employers, unions, health plans and health systems halve pharmacy costs through education and radical…
-
Jessica Moore, PharmD, CPBS
Clinical Account Manager | TransparentRx | Community Pharmacist
-
Archit Agarwal
Empowering fiduciary pharmaceutical benefits with TransparentRx | Dynamic | Aspiring Photographer
-
Terrence Squires
SDR Manager
Updates
-
Formularies, contracts, and rebates have created roadblocks for biosimilars. While these drugs offer significant cost savings, outdated PBM structures slow their adoption. It's time to rethink our approach to ensure access and affordability for patients. 💊💡 #Biosimilars #PBMReform #HealthcareSavings #PharmacyBenefitManagement #PatientAccess #Education #CPBS #PBIA #TransparentRx
What Went Wrong: How Formularies, Contracts, and Rebates Created a Headwind for Biosimilars [News Roundup]
https://transparentrx.com
-
🚨 Managing high-cost J code drugs under the medical benefit is a challenge, but there’s a better way! Moving these drugs to the pharmacy benefit can increase transparency, reduce costs, and improve patient care. 📊 Check out my latest blog to learn how to make this transition seamlessly and cost-effectively. #PharmacyBenefits #HealthcareCosts #EmployeeBenefits #BenefitManagement #CFO #PBM #SpecialtyPharmacy
Maximizing Cost Efficiency and Control: Moving J Code Drugs from Medical to Pharmacy Benefit
https://transparentrx.com
-
Honored to be selected for the CEOcircle program by JPMorgan Chase and Syracuse University’s D’Aniello Institute. This opportunity will help advance TransparentRx’s mission of providing fiduciary pharmacy benefit management, reducing costs, and improving patient care. 💼🌟 #Leadership #PharmacyBenefits #Transparency #CostReduction #CEOCircle #VeteranLeadership #PBM #Healthcare To learn more and view the full list of companies selected to participate in the 2025 CEOcircle cohort click here: https://lnkd.in/gdYR44a2.
-
💡 Employers are increasingly looking for alternatives to cost-shifting, and that's where a fiduciary PBM makes a real difference. When patient outcomes are prioritized, and hidden fees are eliminated, everyone wins. 🚀 #TransparentRx #FiduciaryStandard #HealthcareSavings #EmployeeBenefits #CPBS
Employers seeking to avoid cost-shifting even as expenses continue to rise [News Roundup]
https://transparentrx.com
-
The FTC's recent complaint sheds light on how PBM practices are driving up drug costs, especially for self-insured employers. Time to reassess PBM contracts and focus on transparency and true fiduciary models! 💡💊 Read more: https://lnkd.in/g_5PT3zS #PharmacyBenefits #SelfInsured #PBM #HealthcareCosts #Transparency #CPBS #TransparentRx #PBIA
-
The 2024 PBM Customer Satisfaction Report from PSG shows us just how vital transparency and trust are becoming in the pharmacy benefits space. It’s clear that clients are prioritizing PBMs that deliver results with accountability. 📊💡 This reinforces the growing demand for fiduciary models that align with client goals and outcomes. #PBM #PharmacyBenefits #Transparency #ClientSatisfaction #CPBS #TransparentRx
Pharmaceutical Strategies Group Publishes 2024 Pharmacy Benefit Manager Customer Satisfaction Report [News Roundup]
https://transparentrx.com
-
💡 Rebates can be a game-changer, but only if you know who's pocketing the savings. Don't get blindsided by rebate aggregators promising more than they deliver. Dive into our latest blog to uncover how to truly maximize benefits without sacrificing transparency or fiduciary duty. 🧐💰 Read the full blog here: https://lnkd.in/gkzkyqDF #RebateTransparency #PBMEducation #FiduciaryResponsibility #EmployeeBenefits #CostManagement
-
💡 Walgreens' $106.8 million settlement underscores the critical need for robust anti-fraud measures in pharmacy benefit management. To truly serve plan sponsors, PBMs must go beyond compliance—implementing proactive strategies like real-time claims monitoring, data analytics to spot irregular patterns, and auditing pharmacy networks regularly. These measures help prevent overbilling, kickbacks, and other schemes that inflate costs and erode trust. It's about accountability, transparency, and protecting the financial health of plan sponsors. 🛡️📊 #PBMTransparency #AntiFraud #FiduciaryDuty #HealthcareIntegrity #PharmacyBenefits #CPBS #PBIA #TransparentRx
Walgreens will pay $106.8 million to settle claims of fraudulently billing U.S. government for undispensed prescriptions [News Roundup]
https://transparentrx.com
-
Navigating formulary markets isn't just about choosing the right drugs—it's about understanding the behind-the-scenes auction for formulary spots! 💊💰 My latest blog breaks down how PBMs and Pharma companies negotiate these positions, the impact on costs, and the hidden tactics that could be keeping prices high. 📈 🔍 Key Points: 1️⃣ Formulary positions are auctioned, much like ad placements on Google. 2️⃣ Costs vary between mature and immature therapeutic classes. 3️⃣ Exclusionary rebates can limit competition and drive up prices. 🛡️ For brokers and self-funded employers, understanding these dynamics is crucial to controlling costs while ensuring quality care. Dive in to learn more! #PharmacyBenefits #FormularyManagement #EmployeeBenefits #CostControl #CPBS #PBIA #TransparentRx
Understanding Formulary Position: A Simple Guide for Employers and Brokers
https://transparentrx.com