ScriptSourcing, LLC

ScriptSourcing, LLC ScriptSourcing helps prevent, mitigate, and transfer risk to create high-performing health plans.

Day 1 at the 2025 SIIA National Conference has begun! The ScriptSourcing Team is on site at the JW Marriott Desert Ridge...
10/12/2025

Day 1 at the 2025 SIIA National Conference has begun! The ScriptSourcing Team is on site at the JW Marriott Desert Ridge Resort & Spa in Phoenix, AZ, ready to explore innovative solutions, connect with industry experts, and dive into sessions shaping the future of self-insurance and healthcare.

10/08/2025

What Are Performance Fees? 🔍
Performance fees are charges a PBM imposes on pharmacies or plan sponsors, supposedly tied to meeting service or cost benchmarks. But if there’s no documented proof of results, those fees can become silent profit grabs.

Why Does It Matter? ⚠️
Without transparency and data to support the fees:
📉 You pay for “performance” that may never happen.
🕵️‍♂️ There’s no way to verify compliance or goals met.
💰 Dollars quietly flow from your plan into the PBM’s pocket.

The Silent Clawback 🤫
When proof is missing:
Fees are deducted without explanation.
Overpayments hide in the billing process.
Plan sponsors lose leverage to challenge charges.

Bottom line: 🧠 Always demand data — because in pharmacy contracts, what you can’t see can still cost you.

10/07/2025

Check the Audit Rights 🔍
What Are Audit Rights? 🤔
Audit rights define how and when a plan sponsor can review a PBM’s financial and claims data. If your contract restricts or removes them, you lose the ability to confirm that billing and rebate terms are being honored.

Why Does It Matter? ⚖️
If the contract limits or blocks “look-back” audits, the PBM’s past pricing practices stay unchecked:

❌ No retrospective claim review.
đźš« No visibility into price spreads or hidden fees.
📉 No way to confirm rebates were passed through as promised.

The Hidden Risk ⚠️
When audit rights are weak or nonexistent:

🧾 The PBM’s invoices and reports stand without challenge.
đź’° Any overcharges or spread pricing stay buried.
🤝 Trust erodes because oversight is impossible.

Bottom line: 🧠 If you can’t look back, you can’t hold the PBM accountable — and accountability is the foundation of trust.

Excited to announce that the ScriptSourcing Team is heading to the 2025 SIIA National Conference at the JW Marriott Dese...
10/06/2025

Excited to announce that the ScriptSourcing Team is heading to the 2025 SIIA National Conference at the JW Marriott Desert Ridge Resort & Spa in Phoenix, AZ, from Sunday, October 12-14! We’re looking forward to connecting with industry leaders, exploring cutting-edge healthcare solutions, and advancing innovation together.

Results you want. Performance you trust.
10/03/2025

Results you want. Performance you trust.

10/01/2025

Great question - here's the breakdown:

What’s the MAC List?
The Maximum Allowable Cost (MAC) list is the ceiling price a PBM will reimburse pharmacies for generic drugs. It’s essentially a hidden “menu” of what the PBM says those drugs should cost. Every PBM keeps its own MAC list, and they usually don’t share it with clients.

Why Does It Matter?
If the contract doesn’t require disclosure of the MAC list, the PBM controls both sides of the transaction:
What it reimburses the pharmacy.
What it charges the employer/plan.
This creates a “spread” — the PBM pockets the difference between the low reimbursement and the higher charge to the plan sponsor.

The Hidden Profit
When the MAC list is hidden:
Employers think they’re getting “discounts” on generics.
In reality, the PBM may be underpaying the pharmacy while overcharging the plan.
That gap = pure profit for the PBM, invisible in the invoice.

Transparency in MAC lists means real savings — don’t let hidden spreads cost your plan.

Where experience meets empathy.
10/01/2025

Where experience meets empathy.

Experts guiding you every step.
10/01/2025

Experts guiding you every step.

Member Trust = More Savings.
09/30/2025

Member Trust = More Savings.

Trust isn’t given, it’s earned—and our advocates earn it daily.
09/29/2025

Trust isn’t given, it’s earned—and our advocates earn it daily.

When you invest in people, processes, and technology, the results speak for themselves.
09/28/2025

When you invest in people, processes, and technology, the results speak for themselves.

Not all sourcing partners are created equal, some invest more in what matters most.
09/27/2025

Not all sourcing partners are created equal, some invest more in what matters most.

Address

3301 Bonita Beach Road Suite 106
Bonita Springs, MD
34134

Opening Hours

Monday 8:30am - 5:30pm
Tuesday 8:30am - 5:30pm
Wednesday 8:30am - 5:30pm
Thursday 8:30am - 5:30pm
Friday 8:30am - 5:30pm

Telephone

+14109028811

Website

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