Pharmacy Benefits Management

HOW IT WORKS

Pharmacy Benefits Built Around Your Organization

Most PBMs are built for self-insured employers. PharmaForce PBM is built specifically for self-insured healthcare organizations like yours — 340B covered entities that need a pharmacy benefit designed to maximize cost savings with 340B pricing as a factor, to reduce overall plan costs while aligning with your pharmacy network, instead of your PBM's.

Custom Formulary

Designed around your 340B drug mix and patient population — not a one-size-fits-all template

Your Pharmacy Network

Drive members to your owned pharmacies with network design and benefit incentives.

PASS-THROUGH PRICING

100% of manufacturer discounts passed to you — we charge an admin fee, not a margin.

STRONGER TOGETHER

Combine TPA + PBM for Maximum 340B Performance

When your 340B TPA and pharmacy benefit run on the same platform, you get something no standalone PBM can offer: unified eligibility, claim capture, and built-in duplicate discount protection.

Qualify employee members for 340B under the patient definition — capturing savings on your own health plan
Duplicate discount protection across both programs, automatically
One platform, one data set, one source of truth

ADVANCED COST STRATEGIES

More Ways To Reduce Drug Spend

ALTERNATIVE SOURCING

Save 25–50% on specialty drugs through international sourcing and direct-to-patient shipping. FDA-approved medications, licensed pharmacy partner.

COST-PLUS PRICING

Lower pharmacy reimbursement through better contracting — savings that flow directly to your plan, not the PBM.

COPAY OPTIMIZER

Automatically identify members who qualify for manufacturer copay programs and maximize the dollar value on every eligible claim.

BIOSIMILAR FORMULARY

Don't stop after closing. Keep your customers happy to guarantee a long-term relationship.

PROVEN RESULTS

49% Reduction in Plan Cost PMPM

A rural midwestern hospital redesigned their pharmacy network, built a 340B-aligned formulary, and launched a copay optimizer with PharmaForce. The results:

-47% Total Plan Cost

-31% Cost per Rx

-19% Brand Drug Spend

+18% Generic Utilization

“PharmaForce's customized benefit drug plan has significantly tailored our employee health resources, resulting in substantial savings and improved well-being.”