The Advisor’s PBM Playbook: How to Win on Lowest Net Cost, Not Spreadsheets
Heads Up Adviser28 Okt 2025

The Advisor’s PBM Playbook: How to Win on Lowest Net Cost, Not Spreadsheets

Justin, a PBM industry insider, pulls back the curtain on the complex games that drive up pharmacy spend. He explains the critical difference between a PBM that claims to be “transparent” and one that is a true fiduciary, contractually bound to act in your best interest. This conversation moves beyond the misleading “spreadsheet game” of chasing rebates to focus on the one metric that actually matters: lowest net cost.

Tune in to understand:

  • The key questions you must ask to determine if your PBM is truly aligned with your plan.
  • Why the highest rebate almost never equals the lowest cost.
  • The “product hopping” tactic that’s costing your health plan millions on specialty drugs.
  • How to leverage your own data and focus on PMPM (per member per month) spend to achieve real, measurable savings.

LEARN MORE
Serve You RX: https://serveyourx.com/
Heads Up Adviser: https://virtuealliance.com/heads-up-adviser/
Show Sponsor Virtue Health: https://virtuealliance.com/

CONNECT ON LINKEDIN
Justin Jasniewski: https://www.linkedin.com/in/justin-jasniewski/
John W. Sbrocco: https://www.linkedin.com/in/johnwsbrocco/

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