Pharmacy Benefit Solutions2026-02-04T23:11:18+00:00

Pharmacy Benefit Solutions

Our Custom & Competitive Offerings

pharmacy benefit management

Crumdale Specialty is an innovative pharmacy solutions provider for all constituents of the pharmacy supply chain.

Our Pharmacy Offerings

Our in-house pharmacy solutions team and group purchasing coalition offers custom and specialty Rx solutions that continuously control costs for clients. Our independent, transparent, and vendor-agnostic approach ensures that clients are matched with solutions that create the most value while minimizing disruption.

  • Coalition-Level, Signature-Ready Contracts with Market-Leading Pricing
  • Self-Funded & Max-Funded Health Plans

  • Specialty Drug Management
  • Pharmacy Consulting Services

  • Rebate Procurement
  • Prescription Discount Cards
  • Integrated J-Code Strategy

  • Ongoing Clinical Support & Guidance

  • Vendor Relations Management

Built With Transparency for Brokers & TPAS

0M
Pharmacy Dollars Under Management
0
PMPM (per member per month) plan spend
0+
Clients
0%
25-50% Average First-Year Savings
0%
Plan Savings through Specialty Solutions
0%
Plan Cost PMPM Annual Trend

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Our Innovative Approach: Five Core Components

We deliver value to every client with advanced insight and expertise in various areas that combine with our core components to provide transparent, customized, and flexible pharmacy benefit solutions with market-leading pricing. Our innovative and vendor-agnostic approach allows us to deliver exceptional pharmacy benefits solutions with a true hands-on management approach that ensures we match clients with the services they need.

  • Cost Saving RFP Services
  • Clear & Competitive Coalition Contracts
  • Specialty Drug Management Guidance
  • Experienced Stop-Loss Coverage
  • Expert Predictive Analytics

Cost Saving RFP Services

We make it easy to choose the pharmacy benefits services and solutions you want in your contract with expert RFP services and consulting. With industry expertise, we provide guidance to help create the perfect integrated proposal.

  • Contract Review
  • Contract Pricing Validation
  • Clinical Evaluation & Recommendations
  • Rebate Procurement

Clear & Competitive Coalition Contracts 

We leverage our purchasing power to secure best-in-class PBM contracts and pricing through our coalition partnerships, with 100% transparency and advanced solutions for savings. Each agreement is customized and optimized to provide value, ongoing savings, and clinical insight to improve performance.

  • Fortune 50-Level Discounts & Rebates
  • In-house pharmacy benefits experts to negotiate best-in-class terms & pricing
  • 25-50% Average First-Year Savings
  • Transparent prescription management & pricing through trusted PBM partners

Specialty Drug Management

We provide proactive pharmacy consulting with specialty drug management oversight to achieve the lowest Rx prices and reduce costs on otherwise expensive health-related treatments.

  • Strong Clinical Programs Support (PA, UM, Step Therapy, QL, Split Fill)
  • Patient Engagement & Coaching Support
  • Copay Card/Accumulator Programs Support

Experienced Stop-Loss Coverage

With over 30 years of experience in pharmacy benefits and stop-loss, we can help clients plan for and avoid high costs from prescription drugs. We’ll make sure plans provide protection and cost savings.

  • Competitive Rx-Only Stop-Loss Protection
  • Plan Design Recommendations
  • ERISA Consultation
  • Medical Channel Management

Expert Predictive Analytics

Our proactive pharmacy benefits analytics and advisory approach uses predictive data-driven insights to improve plan performance, measure KPIs, and find clinical opportunities to identify and improve cost containment. We also provide trend management and forecasting.

  • Transparency & expert insight into Rx spend drivers
  • Continuous high-cost claims monitoring
  • Drug class & therapy analysis
  • Retail network & formulary disruption support
  • High-cost drug and PA review support

Our Value Proposition

When you join the Crumdale Specialty network you gain leverage to reduce employee benefits costs, plus exclusive access to:

  • Turnkey, transparent solutions that are easy to understand
  • Industry subject matter expertise and local market knowledge
  • Creative cost containment strategies
  • Superior contracts
  • Best-in-class vendor and carrier relationships
  • Alternative risk financing and management
  • Expert data analysis, actuarial and compliance support
  • Agile solutions tailored to meet your needs

Specialized Areas of Focus & Expertise  

To provide flexible and innovative solutions that meet clients’ unique needs, we have diverse expertise in a range of focus areas. Combined with our core pharmacy benefit solutions and advisory services, these additional areas of expertise allow us to customize plans, drive competitive pricing and increase contract coverage with advanced solutions for cost savings as needed.

Advanced Pharmacy Benefits Solutions & Services 

  • Pricing & Contract Procurement
  • Clinical Management
  • Contact Pricing Validation
  • Trend Management
  • Drug Pipeline Reporting
  • Peer Benchmarking
  • Specialty & Orphan Drug Management
  • Gene Therapy
  • Pharmacogenomics
  • Formulary Management
  • Cost Containment
  • MAC Management
  • PBM Vendor Management
  • White-Glove Account Management

SUCCESS STORIES

Controlling Costs at Renewal

Advanced Clinical Insight

Specialty Cost Containment Case Studies

AVERAGE PLAN SAVINGS: 61.1%*
CLIENT Plan Cost without Program PMPM without Program Plan Cost with Program PMPM with Program Savings ($) Savings (%) PMPM Savings ($)
#1:
238 Lives
$ 377,469 $ 132.17 $ 178,743 $ 62.58 $ 198,726 52.6% $ 69.58
#2:
237 Lives
$ 278,048 $ 97.77 $ 170,016 $ 59.78 $ 108,033 38.9% $ 37.99
#3:
46 Lives
$ 209,232 $ 379.04 $ 13,947 $ 25.27 $ 195,285 93.3% $ 353.78

* Based on average for the identified sample set. Actual results may vary.

Delivering Client Value: Case Studies Across Industries

COMPANY Law Firm Tech Labor County City
LIVES 111 1,008 2,456 7,140 13,491
YEAR 1 SAVINGS ($) $ 10,555 $ 123,347 $ 352,621 $ 3,671,551 $ 5,145,422
YEAR 1 SAVINGS (%) 32.0% 20.7% 12.5% 36.0% 24.1%

Let’s work together

INSURANCE ISN’T NEW, BUT THE WAY WE TAILOR IT TO MEET YOUR NEEDS IS.

CONTACT US TODAY FOR A COMPLIMENTARY, CONFIDENTIAL CLIENT ASSESSMENT.

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