Pharmacy Benefit Management

Pharmacy Benefit Management

The pharmacy benefit management program is a national, full-service arrangement that specializes in customized prescription solutions for children’s hospitals.

Navigating pharmacy benefits is complex. Hospital benefit professionals can overcome the challenges with the support of industry experts, combined negotiating strength and the partnership of an organization specializing in customized solutions for children’s hospitals.

Comprehensive services guide an organization’s health care plan through customized support and attention to accommodate members’ needs. 

PBM delivers valuable assistance through:

Pharmacy coalition

  • Implementation assistance.
  • Vendor management.
  • Issue resolution.
  • Annual CHA forum meeting.

Program analysis

  • Clinical management.
  • Industry updates.
  • Comprehensive reporting and performance benchmarking.
  • Frequent market checks.

Contract negotiation

  • Multiple PBM options with pricing flexibility.
  • Financial and contract compliance auditing.
  • Guarantee reconciliation and reporting.

Collective consulting

  • $57 million total aggregate projected savings for 2018-2020.
  • $25,000 implementation audit credit for new CHA participating hospitals.
  • "At-will” termination option.
  • $100,000 +/- PBM communication support.

In Their Words

“We enjoy working with CHA as our organization's lead pharmacy program advisor. They work well with our local consultant to provide analytics and the CHART data is also useful for our strategic planning. When we're meeting with our local consultant on full program strategies, the CHA detail is included.”
PBM Participant