ScriptSourcing, LLC

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

What Are Opaque Contracts? šŸ•¶ļøAn opaque contract hides key details—definitions, pricing formulas, and fee structures—unde...
01/27/2026

What Are Opaque Contracts? šŸ•¶ļø
An opaque contract hides key details—definitions, pricing formulas, and fee structures—under complex or confidential language. In PBM agreements, opacity isn’t accidental; it’s strategic. The less you can see, the more they can shape outcomes behind the scenes.

Why Does It Matter? šŸ’µ
When contracts lack clarity:
šŸ“‘ Employers can’t trace where every dollar goes.
šŸ’ø ā€œGuaranteed savingsā€ become unverifiable promises.
🤐 Questions about pricing or rebates get deflected under ā€œproprietaryā€ protections.

The Cost of Staying in the Dark šŸ’”
Here’s how opacity translates to expense:
šŸ” Unclear language lets PBMs define metrics and margins to their advantage.
šŸ¦ Plan sponsors lose leverage in audits, renewals, and renegotiations.
šŸ“‰ The result: predictably unpredictable costs—and profits you can’t track.

Bottom line: 🧠
Opaque contracts create opaque results. The only way to reclaim control is through fearless transparency—because clarity doesn’t just expose profit, it restores power.

Kicking off Day 1 at ASCEND in Nashville with the ScriptSourcing Team at the Music City Convention Center! Stop by our t...
01/27/2026

Kicking off Day 1 at ASCEND in Nashville with the ScriptSourcing Team at the Music City Convention Center! Stop by our table to talk prescription savings strategies and start your week with fresh ideas, stronger strategies, and new connections.

Unlock tailored support without the hassle of lengthy contracts.
01/26/2026

Unlock tailored support without the hassle of lengthy contracts.

Experience the ease of transparent, member-focused Rx management.
01/26/2026

Experience the ease of transparent, member-focused Rx management.

Solutions should fit your timeline, not someone else’s contract.
01/25/2026

Solutions should fit your timeline, not someone else’s contract.

What Are ā€œGuaranteesā€ in PBM Contracts? šŸ“‹Guarantees in PBM contracts are promises about cost savings, drug rebates, or u...
01/25/2026

What Are ā€œGuaranteesā€ in PBM Contracts? šŸ“‹
Guarantees in PBM contracts are promises about cost savings, drug rebates, or utilization outcomes. However, many guarantees come with fine print or conditions that limit their impact, and the math behind the claim is often not fully disclosed to employers or plans.

Why Does It Matter? šŸ’µ
When guarantees are vague:
šŸ’ø Without clear math, you don’t know if promised savings reflect real plan benefit.
šŸ¤ Contracts may tout guaranteed rebates or discounts that exclude fees or certain drugs.
🚦 Plans can be caught off guard if expected savings don’t materialize despite the guarantee claim.

The Guarantee Math Game šŸ•¹ļø
With unclear guarantees:
šŸ” The calculation methods and assumptions are hidden or overly complex.
šŸ¦ PBMs may use formulas that favor their margins rather than true plan savings.
šŸ“ˆ Employers get ā€œguaranteesā€ on paper but can’t verify if the plan’s real spend aligns with those claims.

Bottom line: 🧠
Question every ā€œguaranteeā€ that isn’t guaranteed to show you the math—claims without transparent, verifiable calculations are just marketing, not protection.

The future of pharmacy benefits belongs to those who prioritize compliance and innovation equally.
01/24/2026

The future of pharmacy benefits belongs to those who prioritize compliance and innovation equally.

What Are Price Guarantees? šŸ’°PBMs often present price guarantees as proof of savings—promises that drug costs will stay w...
01/24/2026

What Are Price Guarantees? šŸ’°
PBMs often present price guarantees as proof of savings—promises that drug costs will stay within certain limits or averages. On the surface, they look like strong protections for plans. But without full audit access, those guarantees are just numbers you have to take on faith.

Why Does It Matter? šŸ’µ
When guarantees lack verification:
šŸ“‘ Employers can’t confirm how those guarantees were met.
šŸ’ø Hidden fees or reclassified claims can offset supposed savings.
🤐 ā€œComplianceā€ reports are generated by the same party reporting the success.

The Illusion of Assurance šŸ“Š
Here’s what happens behind the paperwork:
šŸ” PBMs define pricing terms and validations without third-party oversight.
šŸ¦ Without raw data, you can’t see what was excluded from the guarantee.
šŸ“‰ The result? A contract that promises control while maintaining opacity.

Bottom line: 🧠
A price guarantee without audit access isn’t a safeguard—it’s a slogan. True accountability requires visibility into every claim calculation and exclusion.

What Are Channel Incentives? šŸ”„Channel incentives are payments or perks built into the drug distribution chain—incentives...
01/23/2026

What Are Channel Incentives? šŸ”„
Channel incentives are payments or perks built into the drug distribution chain—incentives that influence where prescriptions get filled or which pharmacies are favored. PBMs and manufacturers design these ā€œmotivationsā€ to steer volume through specific channels that maximize their revenues, not necessarily savings for the plan.

Why Does It Matter? šŸ’µ
When incentives drive direction:
šŸ’ø PBMs may prioritize what’s profitable, not what’s practical.
šŸŖ Mail-order or specialty channels can be pushed regardless of member convenience.
šŸ“¦ Members and plans often pay more for the same drug—just routed through a ā€œpreferredā€ channel.

The Hidden Profit Path 🧭
Here’s what happens behind the scenes:
šŸ” Channel arrangements create control, not competition.
šŸ¦ Each prescription fill can generate hidden revenue for the PBM.
šŸ“ˆ Employers and members end up funding the margin movement through inflated claims.

Bottom line: 🧠
If channel incentives move cash but not value, the gain isn’t yours—it’s theirs. Transparency means making sure ā€œpreferredā€ doesn’t come at members’ expense.

The clearest path leads to real savings.
01/23/2026

The clearest path leads to real savings.

What Is a Rebate Waterfall? šŸ’§A rebate waterfall illustrates how manufacturer rebate dollars flow through layers of the d...
01/22/2026

What Is a Rebate Waterfall? šŸ’§
A rebate waterfall illustrates how manufacturer rebate dollars flow through layers of the drug pricing system—manufacturer → PBM → aggregator → plan sponsor. The name sounds orderly, but the real flow often stops short of the employer. Each layer keeps a share before the dollars ever reach your plan.

Why Does It Matter? šŸ’µ
When the waterfall turns into a dam:
šŸ’ø PBMs and intermediaries capture portions of the rebate as ā€œadministrativeā€ or ā€œserviceā€ fees.
šŸ“‘ Employers receive summaries, not itemized proof of what was kept.
🤐 Lack of visibility makes it nearly impossible to verify full pass-through.

The Hidden Flow of Funds 🌊
Here’s how the cascade works in practice:
šŸ” Rebates are split into multiple categories—retained, shared, and reclassified.
šŸ¦ Each stop in the chain siphons profit before credits reach the plan.
šŸ“‰ The final check may only reflect what’s left, not what was earned.

Bottom line: 🧠
Rebate waterfalls don’t trickle down—they pool up. Until every dollar’s path is traceable, rebate management is a profit exercise, not a savings strategy.

Streamlining pharmacy benefits for healthier, happier workplaces.
01/22/2026

Streamlining pharmacy benefits for healthier, happier workplaces.

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

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