Modular pharmacy benefit models unbundle the traditional PBM, splitting functions like claims processing, networks, rebate administration, specialty, and mail order across specialized vendors instead of a single PBM.

And unlike “6/7” and skinny jeans, modular isn’t a passing trend. As more employers, brokers, and health plans evaluate and adopt it, the question is no longer whether modular is gaining momentum, but whether it is the right operational, financial, and governance fit for your organization.

ALTTRAX brings deep modular expertise and years of experience helping organizations determine whether the model is the right fit and then successfully putting it into practice.

Three Ways ALTTRAX Helps Make Modular Pharmacy Benefits Work

  1. ALTTRAX supports the full modular journey, from determining whether the model is right for your organization to implementing it and confirming that it performs as expected.
  2. We design the model around your organization’s goals, capabilities, and desired outcomes, not the other way around.
  3. Our track record speaks for itself. Clients that have adopted modular models with our support know the value of our experience and execution.

Before making the leap to the modular model, ask yourself:

  • What’s the total cost? Not just implementation, but integration, oversight, and long-term management.
  • Do you have a clear accountability strategy that aligns with your vendor decisions?
  • How will the model come together, from contracting and integration requirements to success metrics and end-to-end testing?
  • Is your team prepared to operate this model day to day and drive results?
  • How will you maintain visibility into performance, compliance, and ROI? Who will be accountable if vendors underperform or fall out of alignment?

We are not here to push a particular model. We are here to help you make the right choice, execute it well, and build for long-term success whether that includes modular or not.

For ambitious organizations navigating the complexity of pharmacy benefits, ALTTRAX brings confidence the strategy is sound, partners are accountable, and the program is delivering the expected value. We turn complex plans into lasting transformation.

Let’s talk about whether a modular model is right for your organization.