Resources

Insights into thepharmacy spend problem.

Articles, guides, and analysis on manufacturer-direct pharmacy, on-benefit pricing, and fiduciary compliance for self-funded employers.

Industry Standard

Drug Benefit Integrity (DBI): The Five-Requirement Standard

An independent standard with five structural requirements for ensuring pharmacy benefit decisions are made in the plan's interest.

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Education

Direct-to-Employer Drug Programs (DTE): What Employers Need to Know

Manufacturers are going direct. Learn what DTE means, how it works, and what infrastructure is required to bring these programs inside the benefit.

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Education

What Is Lowest Net Cost Prescription Routing?

Every plan sponsor wants the lowest net cost. Here is what the term actually means and why it matters across all channels.

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Compliance

PBM Fiduciary Compliance: How Employers Can Prove Prudent Oversight

CAA 2026, the DOL proposed rule, and ERISA litigation are raising the bar. A practical guide to demonstrating fiduciary prudence.

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Article

What Is a Direct-to-Employer Pharmacy Benefit Program?

How self-funded employers access manufacturer-direct drug pricing inside the benefit, without routing around the PBM.

March 31, 2026

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Article

How Manufacturers Can Launch a Direct-to-Employer Drug Program

Launching a manufacturer direct channel takes more than pricing. The operational infrastructure required to make DTE work inside a benefit.

April 1, 2026

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Compliance

ERISA, CAA, and the Self-Funded Employer's Duty to Evaluate Direct Drug Channels

CAA 2026 raised the bar for pharmacy benefit oversight. Self-funded employers now face personal liability for decisions they cannot document.

April 2, 2026

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Education

Manufacturer Direct vs. PBM for GLP-1s: What's the Actual Cost?

PBMs report low net GLP-1 costs. Manufacturers offer direct pricing. How to compare the two channels and what employers actually pay.

April 4, 2026

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Education

What Benefits Consultants Need to Know About Manufacturer-Direct Pharmacy Programs

Manufacturer-direct pharmacy programs are reaching employer conversations fast. What the model requires and how to evaluate it for clients.

April 7, 2026

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Education

How to Evaluate a Direct-to-Employer Pharmacy Platform: Five Questions to Ask

Not all direct-to-employer platforms are equivalent. Five structural questions that separate real infrastructure from cash-pay workarounds.

April 8, 2026

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Compliance

ERISA Fiduciary Duty and Pharmacy Benefits: What Every Self-Funded Employer Must Know in 2026

Plan fiduciaries face personal liability for pharmacy decisions. What the prudent expert standard requires and how to demonstrate compliance.

April 9, 2026

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Compliance

How to Evaluate PBM Fiduciary Alignment: A Practical Guide for Plan Sponsors

What genuine fiduciary alignment requires, how to evaluate your current PBM against that standard, and what to do when it falls short.

April 10, 2026

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Compliance

CAA 2026 and Pharmacy Benefits: What Self-Funded Employers Must Do Now

CAA 2026 created new PBM disclosure requirements, rebate pass-through mandates, and fiduciary obligations. What changed and what plan sponsors must do.

April 11, 2026

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Compliance

How to Audit Your PBM: A Practical Action Guide for Self-Funded Employers

Most self-funded employers have never audited their PBM. Under ERISA and CAA 2026, that is a fiduciary risk. A step-by-step guide.

April 12, 2026

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