Addressing Today’s Pharmacy Benefit Buzzwords
National CooperativeRx
August 12, 2025
In our conversations with members and partners, we often hear similar questions about industry buzzwords. In this blog, we explore…
Category: Educational Materials
Common Pharmacy Benefit Challenges and How National CooperativeRx Solves Them
National CooperativeRx
July 21, 2025
Rising drug costs, lack of transparency, and poor support are prompting many plan sponsors to seek new pharmacy benefit management (PBM) solutions that truly deliver on their promises…
Common Sense Solutions to Combating Fraud, Waste, and Abuse
Wayne Salverda
June 26, 2025
More than a decade ago, an estimated 30% of U.S. healthcare spending—approximately $750 billion—was wasted on unnecessary services, excessive administrative costs, and fraud…
Pharmacy Benefit Audits: Enhancing Plan Oversight
National CooperativeRx
May 7, 2025
Pharmacy benefit audits are essential to maintaining the integrity and value of benefit plans. They play a crucial role in holding pharmacy benefit managers (PBMs) accountable…
Data Proves Success of National CooperativeRx Specialty PA Program
Erica Guetzlaff
March 25, 2025
National CooperativeRx’s pledge to our members is to ensure quality pharmacy benefit programs, plans, and service. Thus, we are constantly looking for opportunities to add value…
Top Drug Trends Shaping Your Benefits
Erica Guetzlaff
March 11, 2025
Staying informed about the latest drug trends is essential for optimizing pharmacy benefit plans. At National CooperativeRx, we monitor…
In the Wake of the GLP-1s, Is It Time to Revisit Your Cost Share Strategy?
Wayne Salverda
February 11, 2025
Most payers can expect the percentage of member cost share to decrease over time. This is because most plans use fixed or flat copays…
What Plan Sponsors Should Know About the 340B Drug Pricing Program
National CooperativeRx
January 28, 2025
The 340B Drug Pricing Program was established to help healthcare entities offer affordable medications to underserved populations. However, its expansion over time has led to challenges…
Understanding the Differences in Pharmacy Group Purchasing Models: Cooperatives, Coalitions, Collectives, and Collaboratives
Chad M. Winters, J.D.
January 15, 2025
While these purchasing models share a common goal—aggregating the buying power of individual plan sponsors to lower pharmacy benefit costs—their structural differences in governance, pricing, and accountability significantly impact…
Pharmacy Benefits in Focus: Reflections and Predictions
Wayne Salverda
December 3, 2024
Expect another year of non-specialty drugs surpassing specialty drugs in their overall contributions to trend. GLP-1s will continue to be major drivers.
Rebate Credit Dynamics
Josh Bindl
October 23, 2024
Offering rebates has been a pricing strategy for manufacturers of brand-named prescription drugs for decades. The explosion of rebate value has happened over the last 10-12 years as pharmacy benefit managers (PBMs)
Pharmacy Benefit Management Concepts: Oversight and Assistance
National CooperativeRx
October 22, 2024
In this final part of the series, we will dive into PBM performance and support—answering questions about how PBMs gauge plan effectiveness and provide support to stakeholders.