Help your self-funded clients check what their PBM reports
PBMs will soon have to report what they earn from your clients’ plans. Expose FI checks those numbers against every claim, so you bring evidence to the renewal.
How we work with you
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You introduce a client
One or two self-funded clients, ideally with a PBM renewal coming up.
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We check every claim
One pharmacy claims extract, compared to the federal drug-cost benchmark.
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You present it together
A readout with you in the room, and numbers for the renewal.
What it does for you and your clients
A timely answer
For clients asking what to do about the new DOL rule.
Evidence for renewals
Claim-level numbers your pharmacy team can use in PBM negotiations and bids.
One view across plans
Advisor access to oversee pricing across the client plans you bring in.
Credit at the readout
You bring the client, you present the results, you get the credit.
We support your work. We don’t compete with it.
Your pharmacy team negotiates the contracts and runs the bids. We add a claim-level check on every claim, and you stay in the room at the readout.
Questions consultants ask us
Our pharmacy team already audits PBMs.
Good. We add a claim-level check against the federal benchmark on every claim, not a sample, with the trail for each one. Your team can use it in the audit and at renewal.
Our clients already get reports from the PBM.
The new rule adds more of them. Those are the PBM’s own numbers. We check them against the claims.
Clients won’t share claims data.
We need one pharmacy claims extract, with no names or addresses, under a Data Use Agreement. It can stay in the client’s own environment.
Is this about suing the PBM?
No. It’s oversight and renewal leverage. If a client asks about legal options, that’s a question for their counsel.
What does it cost?
The first look is free. Paid work after that is a fixed fee, agreed in advance.
Start with a free Expose FI Snapshot
We analyze your plan’s pharmacy claims and show you the savings opportunity. No cost, no obligation, and your data never has to leave your control.