Safeguard the Health of Your Pharmacy Plan with a Check-up

Safeguard the Health of Your Pharmacy Plan with a Check-Up

by: RxBenefits

When it comes to on-the-job quality assurance, regular inspections ensure optimal performance. So can regular check-ins with your pharmacy benefit plan. Maintain the health of your plan by evaluating it for cost-effectiveness, compliance, and member well-being.

Just as the systems that labor and unions support need ongoing maintenance, the health benefits plans supporting workers need the same vigilance and scrutiny. A proactive check-up can help maintain maximum quality, while uncovering opportunities to improve plan benefits and savings.

A Check-Up Today to Meet Challenges Tomorrow

Even if you’re not feeling any pressure to evaluate your current plan, the growing trends in labor and union healthcare will have an impact in 2026 and beyond:

Rising Prescription Costs

Prescription drugs now account for nearly 20% of total healthcare spending, with those costs continuing to increase. Unions locked into multi-year contracts with pharmacy benefits managers (PBMs) may not even notice the burden until their budgets are already overtaxed.

New and Increasing Usage of High-Cost Medications

Specialty drugs, used to treat complex diseases like cancer or immune disorders, along with the popular GLP-1 drugs for diabetes and now weight loss, can be wildly expensive. In addition, some historically more reasonably priced medications, such as blood thinners, are experiencing steep cost increases. It’s important to have a plan that addresses these high-cost medications proactively.

Regulatory Changes and Compliance Requirements

New state-level reforms, mandates, and federal legislation are putting more pressure on the healthcare industry. Those impacted the most, such as PBMs, often pass on any new expenses and challenges to their clients, making everyday operations more difficult and confusing.

These issues and others make it more important than ever to regularly monitor your pharmacy benefits plan.

Not Sure If It’s Time for a Closer Inspection of Your Pharmacy Benefits Plan?

Use these five questions to see how your plan is performing against your objectives:

A well-designed pharmacy benefits plan supports cost savings, member health, and
satisfaction while reducing risks.

Partner with experts like RxBenefits for a transparent, proactive review to optimize your
plan and ensure you have the right benefits for you and your members — visit ULA-RxBenefits for Employers to get started.