Contracting Excellence
It’s the backbone to Prism’s success.
Said plainly, we negotiate like the people who will have to audit it — because we are those people. Former PBM contract owners and benefit engineers sit with our team of ERISA attorneys and economists to weaponize words against PBM’s into enforceable language, collapse “agree with exception” hedges, and establish performance guarantees that bite.
Our goal isn’t to be liked — it’s to be right — and to leave you with a contract that resists creative interpretation by those PBM’s that aim to try their luck.
How We Overdeliver
- Clause‑by‑clause redline matrix with risk, remedy, audit path, and owner for every section.
- Definitions tightened to close common games: DAW, WAC/AWP drift, U&C, specialty routing, channel reassignment, rebate exclusions, and credit language impacts.
- Governance pack — escalation ladders, cure periods, and data‑access SLAs baked in.
- Performance guarantee catalog with auto‑pay mechanisms, not “negotiate later.”
Partnership is great.
We fix root cause at the clause
Word for the wise…
If your pharmacy consultant’s last “audit” ended with “monitor going forward,” they audited your patience — not the math.
Ready to save on healthcare?
Let’s optimize your pharmacy benefits and drive down costs. Our team of experts is here to guide you through every step of the process. From regulatory compliance to patient savings, we’ve got you covered. Don’t leave money on the table—reach out today and discover the difference.