Pharmacy Benefits Management
The top four pharmacy benefit managers (PBMs) control the majority of the market, leaving most employers with limited leverage negotiating alone. HUB's pharmacy benefits management brings aggregated purchasing power, contract audits and specialty drug strategy to employers of every size.
Why It Matters
Why negotiating alone leaves savings on the table
Specialty drugs make up a small percentage of prescriptions but about half of pharmacy spending in employer-sponsored plans, and most employers negotiate pharmacy benefits management contract terms, rebates and specialty drug pricing alone against a market where four PBMs control most of the available negotiating leverage.
HUB's Approach
One Pharmacy Benefits Strategy: Audited, Negotiated, Managed
HUB audits existing PBM contracts against current market benchmarks; pricing terms, rebate guarantees, and specialty drug provisions that carriers rarely volunteer to disclose. Where a contract has gone 12 to 18 months without review, HUB identifies specific, auditable savings opportunities rather than a general recommendation to renegotiate.
HUB then brings aggregated purchasing power to the negotiation itself, securing transparent, performance-accountable contract terms and, where appropriate, a pharmacy carve-out that separates drug benefit management from the medical carrier. For high-cost specialty and GLP-1 claims, HUB evaluates alternative funding strategies before a claim becomes an unmanageable line item.


