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PBM Implementation
Once a contract is in place, the PBM will begin implementing services. The following are some key considerations during the implementation process:
Data Integration: The PBM should work with the plan sponsor to ensure data is accurately and securely transferred between systems.
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Network Adequacy: The PBM must ensure that the pharmacy network is adequate to provide members with medication access.
Member Communications: The PBM should inform members about the new benefits and any changes to their prescription drug coverage.
ProviderEducation: The PBM should educate providers about the new benefits and how to access information related to the pharmacy benefit.
Performance Monitoring: The PBM should monitor performance regularly to ensure that services are delivered as agreed upon in the contract.
