Pharmacy Benefits Consulting for Employers

Helping Employers Take Control of Pharmacy Benefits

Independent expertise, actionable insights, and practical solutions to optimize pharmacy benefit performance and reduce costs.

Managing pharmacy benefits has become increasingly complex. Rising drug costs, evolving PBM models, specialty medications, and regulatory changes can make it difficult to know whether your plan is performing as it should. ALTTRAX helps employers gain clarity, identify opportunities, and make informed decisions through independent consulting, audits, assessments, performance monitoring, implementation support, and strategic guidance. Explore the solutions below to see how we help organizations maximize the value of their pharmacy benefit programs.

Whether you’re adopting a traditional PBM model or embracing a modular approach, implementation is the make-or-break phase. ALTTRAX doesn’t just consult. We roll up our sleeves and deliver. From vendor selection to operating workflows, from contracting to compliance, we’re with you every step.

Traditional PBM model: A single pharmacy benefit manager provides all core services under one bundled contract — claims processing, network management, mail order, specialty, and clinical programs. It’s simpler but less flexible.

Modular PBM model: Functions are unbundled and handled by multiple specialized vendors (e.g., one for claims, another for mail, another for clinical). It requires more management but offers greater customization, stronger control, improved transparency, and the potential for substantial cost savings.

See this short story that outlines our approach and this post about the modular model.

Discover and Assessment

We begin by understanding where you are: your current PBM setup, gap areas, vendor landscape, cost exposures, and risk.

Model Design and Planning

We help you choose your desired configuration — traditional, modular, etc. and identify dependencies, integration points and more.

Vendor Selection & Contracting

We assist in evaluating vendors, defining SLAs, negotiating contract terms, ensuring interoperability and accountability.

Implementation & Integration

Systems, claims flows, network relationships, clinical tools — we execute and coordinate all moving parts.

Testing, Training & Go-Live

Comprehensive end-to-end testing. Ensuring your team and vendors are ready. Smooth transition to operational performance.

Monitoring & Continuous Improvement

Post-launch oversight: performance metrics, compliance, vendor reviews, refinements to optimize savings and clinical outcomes.

What Sets Us Apart

• Deep expertise: decades in PBM operations with multiple full-scale implementations under our belt.
• Proven track record: delivering results and solving issues many others underestimated.
• Balanced approach: no vendor bias, focused on outcomes. We are INDEPENDENT.
• Transparent metrics and accountability: baked into every phase.

Let’s Talk!

Ready to launch your PBM implementation with precision and confidence? Contact ALTTRAX for a free consultation to explore whether modular, traditional, or hybrid implementation is your smartest path forward. See our contact information at the top of this page.

Pharmacy benefits are too important to leave to chance. ALTTRAX combines strategic consulting, clinical expertise, ongoing oversight, and compliance support to help organizations maximize the value of their pharmacy programs.

Pharmacy Strategy

With years of experience, we have developed a strong strategic sense to help you achieve your goals. We are often asked to support initiatives such as:

• Selecting the right PBM
• Finding the right vendor solution
• Ensuring you have the right strategy with your current PBM
• Identifying a vendor to complement your current PBM
• Designing clinical programs to improve your pharmacy strategy

Clinical Strategy

We love data. Share your claims information, and we’ll show you where there are clinical opportunities. We help manage the following and more:

• Formulary strategy
• Clinical programs
• Biosimilar transition strategy
• Cost containment solutions

Pharmacy Oversight

We can help you transition to an optimal pharmacy strategy solution, such as a new PBM, a different plan design, or another solution. Then we provide ongoing analysis to ensure the decision performs as expected.