The
Ultimate PBM Evaluation Guide

A comprehensive resource for assessing and choosing the best PBM

Overview

Problems with Big Health and Legacy PBMs

As your dedicated pharmacy benefit partner, integrity is the cornerstone of our promise to you and your clients. We provide transparent, straightforward solutions that cut through complexity to deliver genuine savings and service, helping you build enduring client trust and showcase clear advantages.

Overview

Problems with Big Health and Legacy PBMs

As your dedicated pharmacy benefit partner, integrity is the cornerstone of our promise to you and your clients. We provide transparent, straightforward solutions that cut through complexity to deliver genuine savings and service, helping you build enduring client trust and showcase clear advantages.

Overview

Problems with Big Health and Legacy PBMs

As your dedicated pharmacy benefit partner, integrity is the cornerstone of our promise to you and your clients. We provide transparent, straightforward solutions that cut through complexity to deliver genuine savings and service, helping you build enduring client trust and showcase clear advantages.

Spread Pricing
Legacy PBMs charge health plans more for a drug than they reimburse pharmacies, keeping the difference as revenue. This "spread" varies based on the drug, pharmacy, and contract terms.
Rebate Take
Vertical Integration

This Guide Will Help You

This Guide Will Help You

Understand the Evolution of PBMs

Gain a comprehensive understanding of the history and development of legacy PBMs, and how their practices have impacted the market over time.

Understand the Evolution of PBMs

Gain a comprehensive understanding of the history and development of legacy PBMs, and how their practices have impacted the market over time.

Evaluate PBMs Effectively

Learn how to assess today’s PBMs based on cost-effectiveness and performance, moving beyond discount-based evaluations to focus on total cost savings and transparency.

Evaluate PBMs Effectively

Learn how to assess today’s PBMs based on cost-effectiveness and performance, moving beyond discount-based evaluations to focus on total cost savings and transparency.

Access Essential Resources

Utilize a glossary of key terms and pricing analyses to estimate potential savings and navigate the complexities of PBM contracts with ease.

Access Essential Resources

Utilize a glossary of key terms and pricing analyses to estimate potential savings and navigate the complexities of PBM contracts with ease.

Make Informed Decisions

Discover strategies for identifying hidden fees and complex rebate structures, empowering you to choose a PBM that aligns with your goals and values.

Make Informed Decisions

Discover strategies for identifying hidden fees and complex rebate structures, empowering you to choose a PBM that aligns with your goals and values.

Optimize PBM Selection Today

At SmithRx, we understand the frustration that comes along with evaluating Pharmacy Benefit Managers. Despite the challenges of a broken American healthcare system, effective tools are available to help you navigate the landscape and make cost-effective decisions. Our PBM Evaluation Guide offers a comprehensive overview of the industry's origins, its evolution, and the necessity of rethinking current evaluation methods.

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

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

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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© 2026 Smith Health, Inc