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SUCCESS STATS

Member Experience

Why Member Satisfaction Matters When Choosing a PBM

Why Member Satisfaction Matters When Choosing a PBM

Portrait of SmithRx

SmithRx

Key Takeaways
  • In 2025, SmithRx members rated their experience 4.5 out of 5, with average call wait times under 21 seconds. In addition, 97% of members transitioning to SmithRx experience zero disruption to their pharmacy benefits.

  • A modern PBM can deliver both cost savings and a strong member experience.

  • Member satisfaction is a key signal to weigh when choosing a pharmacy benefit manager, because it shows how well a plan works for employees day to day.

When it comes to employee benefits, we know that satisfied employees are more productive, engaged, and likely to make better day-to-day decisions regarding their work and home lives. In the increasingly complex world of pharmacy benefit managers (PBMs), a modern partner can control cost and deliver a strong member experience at the same time. Member satisfaction is a key signal to weigh when choosing a PBM.

At SmithRx, we are committed to cost-effective solutions and a member experience that supports better health outcomes, stronger engagement, and long-term satisfaction. As a transparent, modern PBM, we deliver strong support to clients and their members while helping them save money.

Let's explore why member satisfaction is crucial to businesses of all sizes and why it should shape how you evaluate potential pharmacy benefit partners.

The Power of a Positive Member Experience

When employees are satisfied with their health benefits, they tend to use them more effectively. But what does a positive member experience look like in the context of pharmacy benefits? For large enterprises, especially ones with a large, diverse workforce, creating a seamless, user-friendly experience is crucial. Employees need easy access to medications, clear information, and the support to help them make informed decisions about their health. A positive member experience is associated with happier employees, lower administrative costs, better health outcomes, and overall savings for your organization.

At SmithRx, we have made member satisfaction a core part of what we offer. We understand that employees value convenience, speed, and accessibility, so we continue to invest in the member experience.

SmithRx's Service: Metrics That Matter

We are proud of the strides we have made to enhance the member experience, and the results speak for themselves. Here are some key statistics from 2025 that reflect our ongoing commitment to excellence:

  • 4.5/5 Member Satisfaction (MSAT) Score: Our members consistently report high levels of satisfaction, reflecting the positive experiences our members had with our services.

  • Under 21 Seconds Average Wait Time for Support Calls: Time is of the essence when it comes to customer service. Our average wait time was under 21 seconds in 2025, ensuring that employees get the support they need, fast.

  • 97% Seamless Transitions: When transitioning to SmithRx, 97% of members experience no disruption at all, ensuring they can continue accessing their benefits without interruption.

These results are a testament to our focus on delivering an exceptional experience for your employees, ensuring they’re able to navigate their pharmacy benefits with ease.

Key Member Experience Questions to Ask

Choosing the right PBM for your organization is about more than cost-effectiveness. It is about finding a partner and provider that aligns with your goals and values, especially when it comes to member experience. Here are some key questions to ask when evaluating a PBM and its approach to member experience. For a broader framework, see how to evaluate a PBM.

1. How does the PBM prioritize member satisfaction?

Member satisfaction should be a high priority for any PBM. Members deserve clear communication, easy access to their medications, and responsive customer support for any questions they might have. Before selecting a PBM, ask about their approach to ensuring a positive member experience.

2. How does the PBM handle member questions and feedback?

In pharmacy benefits, members will sometimes have coverage questions or need help. Understanding how a PBM handles questions and feedback as they arise tells you a lot about its service. Are there clear, accessible channels for members to share their experiences? Does the PBM use member feedback to continuously improve?

3. How good is the PBM's customer support?

Customer and member support is one of the most important aspects of the PBM experience, and this is especially true for larger enterprises. How responsive is the customer service team? What are the service hours? What are the average wait times for support calls?

4. Are there educational and support resources available to members?

A PBM that invests in member education and engagement will help your employees make informed decisions about their medications and overall health. Look for PBMs that provide easy-to-use digital tools, personal support services, and educational resources, ensuring your employees get the best member experience they can have.

5. What's the PBM's track record for program execution?

Many PBMs claim to offer programs that help members get the best treatment at the lowest cost, but execution is key. Evaluate whether a PBM can implement these programs effectively and whether it has demonstrated measurable success in doing so. Good intentions matter, but execution and results are what shape member satisfaction.

Frequently Asked Questions

Why does member satisfaction matter when choosing a pharmacy benefit manager?

Member satisfaction signals how well the plan works in practice for employees. A PBM that members find easy to use supports engagement with their benefits.

What metrics should employers use to measure PBM member satisfaction?

Look at concrete signals: support response and wait times, member satisfaction (MSAT) scores, and issue-resolution rates.

How does member satisfaction affect a pharmacy benefits program?

Employers increasingly weigh this question. According to Business Group on Health, employers voice growing concern about affordability and adherence. A strong member experience is one factor they consider alongside cost when choosing a pharmacy benefit partner.

A Partnership Built on Trust and Satisfaction

Choosing the right PBM is a crucial decision with far-reaching implications for your entire organization. It is an investment in your employees' well-being and a strategic move that requires careful consideration. Partnering with the right PBM means giving your employees access to the medications they need, when they need them, along with the support to navigate the healthcare system.

SmithRx understands that a successful PBM partnership is built on a foundation of trust, transparency, and a shared commitment to member satisfaction. We recognize that cost-effectiveness and member satisfaction are not mutually exclusive. Our 2025 results reflect that commitment: members rate their experience well above the industry benchmark, reach our support team in under 21 seconds on average, and move to SmithRx with minimal disruption. Our cost-saving programs, Drug Pathways, including our GLP-1 and Multiple Sclerosis (MS) programs, help members access their medications while maximizing savings.

With SmithRx, you gain a pharmacy benefit partner that prioritizes cost and experience together. If you have further questions, we have created a comprehensive PBM evaluation guide to help you ask the right questions during request-for-proposal (RFP).

Ready to enhance your pharmacy benefits strategy? Contact us today and let us start a conversation about how we can elevate your PBM experience.

Portrait of SmithRx
SmithRx

SmithRx is the #1 Modern PBM, relentlessly focused on eliminating the conflicts and complexity of legacy pharmacy benefits. Built on radical transparency and fiduciary alignment, we empower employers to take control of their pharmacy spend and experience with our 100% pass-through model.

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SmithRx is on a mission to reduce the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.

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SmithRx is on a mission to reduce the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.

Pharmacy and Provider Line
Member Help

M-F 8am - 9pm ET; Saturday 9am - 7pm ET

© 2026 Smith Health, Inc

Cookie Settings

Do Not Sell or Share My Personal Information

SmithRx is on a mission to reduce the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.

Pharmacy and Provider Line
Member Help

M-F 8am - 9pm ET; Saturday 9am - 7pm ET

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