Health Solutions

Prescription drugs

We help navigate pharmacy benefit challenges

Dramatic advances in prescription drugs have the potential to improve and save lives—but these improvements come at a cost. Milliman can help you address the full spectrum of pharmacy benefit challenges, from pharmacy benefit manager (PBM) selection to plan design to Medicare Part D consulting, our experienced experts and smart technology are here for you.

Overview

Milliman prescription drugs solutions

PBM contracting and management

Get favourable contracts and better pricing by leveraging our expertise and understanding of the pharmacy benefits market. We assist with the entire PBM lifecycle, including RFPs, implementation oversight, ongoing support, and audits.

Pharmacy plan design

Gain flexibility for your organisation and your members with an effective pharmacy benefits plan model. Our rich data and powerful analytic tools help identify the best strategy for your goals.

Medicare Part D

Building effective Medicare Part D offerings requires a thorough understanding of your options and the complex regulations involved. From plan design to formulary review, compliance planning to star rating improvement, Milliman has market-leading expertise in all things Medicare and can help you with any challenge.

Insight

Milliman prescription drugs insight

WHITE PAPER

Payer strategies for GLP-1 medications for weight loss

We examine various strategies related to GLP-1 medications such as Wegovy when used for weight loss to help payers understand the landscape, develop a coverage strategy, and minimize waste.

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White Paper

PBM Best Practices Series: Carve-in vs carve-out programs

Employers and other plan sponsors have the option of carving in or carving out their pharmacy benefit program from medical benefits. Which strategy is right for you?

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White Paper

PBM Best Practices Series: RFP process

Is your PBM delivering ROI? Learn how to improve your RFP and contracting processes to get more value from the relationship.

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Milliman prescription drug products

Insurance risk assessment

IntelliScript

IntelliScript combines industry-leading data and analysis to provide insurers the knowledge, tools, and insight to confidently assess risk.

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Contact us

We’re here to help you break through complex challenges and achieve next-level success.