All of These Things
Are Not Like the Other.

Pharmacy Benefit Manager (PBM)? Pharmacy Benefit
Optimizer (PBO)? Coalition?
At first glance, they might
look the same. But take a closer look, and you’ll see
there’s more than meets the eye.

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Learn to spot those differences so you can make informed choices for your pharmacy plan.


  • Work with Pharmacy Benefit Managers (PBMs) to manage pharmacy benefit plans
  • Trust the PBM to provide terms with the best rebates, formularies, and drug prices

You spy: Aggregate power to negotiate competitive drug prices

We spy: Contracts that offer low prices, but not always the lowest net cost

Pharmacy Benefit Managers (PBMs)

  • Administer prescription drug benefits
  • Manage formularies, claims, and prior authorizations 

You spy: A partner working with manufacturers and pharmacies to negotiate drug prices

We spy: Profit drivers generating revenue from sources like rebates, spread pricing, and proprietary pharmacies

Pharmacy Benefit Optimizers (PBOs)

  • Work with PBMs and clients to manage plans to the lowest net cost — not just lowest price 
  • Independently manages formularies, claims, and prior authorizations
  • Provide on-the-ball, responsive service to employers and members 

You spy: Aggregate power to negotiate client-aligned contracts

You spy: Client drivers, with revenue generated from program fees and client savings

You spy: Plan management, clinical management, and service all in one place

Download the PDF

Getting the most out of your self-funded plan is all in the details. Contact RxBenefits today to help you spy client-aligned contract terms, clinical management, and service in your pharmacy plan.