Case Studies

Private college cuts pharmacy costs by 62%

Facing inflated drug costs and minimal oversight, this 3,500-member liberal arts college restructured its plan, stayed with its PBM, and still more than doubled its projected savings.

Through detailed analysis and strategic plan redesign, they achieved:

  • $3.1 million in first-year savings
  • 62% reduction in pharmacy spend
  • Stronger clinical oversight with zero member disruption
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National hospice care organization cuts pharmacy costs by $5.2M

After multiple acquisitions, this 17,000-member organization was juggling three fragmented benefit plans and rising costs. A strategic consolidation effort turned complexity into clarity—and delivered far more than expected.

Through competitive bidding and national plan optimization, they achieved:

  • $5.2 million in first-year savings
  • 27% reduction in total pharmacy spend
  • Unified plan design with no disruption to member care
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National construction firm

National construction firm cuts pharmacy costs by $1.3M

With rising drug costs and poor oversight hurting both the budget and member experience, this 2,800-member fund restructured its plan to drive savings—without switching PBMs or disrupting care.

Through strategic renegotiation and clinical oversight, they achieved:

  • $1.3 million in first-year savings
  • 32.5% reduction in pharmacy spend
  • Less than 1% member disruption despite major plan improvements
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Firefighters

Firefighters association cuts pharmacy costs by $2.8M

With rising costs and no formulary controls, this 6,700-member plan was bleeding money. A strategic RFP and smarter plan design delivered triple the projected savings—and nearly eliminated member disruption.

Through improved contract terms and built-in oversight, they achieved:

  • $2.8 million in first-year savings
  • 34% reduction in pharmacy spend
  • Less than 1% member disruption despite major backend changes
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Financial services firm cuts pharmacy spend by 53%

Facing outdated rebate terms, poor clinical oversight, and hidden fees, this 3,500-member company uncovered $2.67 million in waste—more than triple the expected savings—and streamlined benefits without disrupting member care.

Through competitive bidding and rigorous plan oversight, they achieved:

  • 53% reduction in total pharmacy costs
  • $2.67 million in actual annual savings
  • Zero member disruption while extending savings to a new division
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County government

County Government Cuts Pharmacy Costs by 40%

Facing skyrocketing pharmacy spend and urgent year-end pressures, this 2,800-member county plan uncovered contract loopholes, poor oversight, and missed savings—then slashed $1.6M in costs with zero member disruption.

Through an expertly led RFP and rigorous oversight reforms, they achieved:

  • 40% reduction in pharmacy costs
  • $242,000 recovered from audit after first year
  • Improved oversight of speciality and formulary management
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