Which of the following factors is important for a plan sponsor to avoid overpaying for a pharmacy benefit?

Study for the Certified Pharmacy Benefit Specialist Exam. Explore flashcards and multiple-choice questions, each accompanied by hints and explanations. Be fully prepared for your test!

The correct factor that helps a plan sponsor avoid overpaying for a pharmacy benefit involves timing. Timing is crucial because it can impact the cost of prescriptions significantly. For instance, if a plan sponsor reviews and negotiates contracts with pharmacy benefit managers (PBMs) or drug manufacturers at optimal times, such as during the renewal period or when new drugs enter the market, they can leverage market changes and available data to negotiate better prices.

Moreover, timing can relate to the introduction of new generics, seasonal variations in drug pricing, and impending policy changes that might affect drug costs. By being attentive to these timing factors, plan sponsors can avoid paying inflated prices or missing opportunities for discounts and rebates, which are essential for maintaining cost-effective pharmacy benefits.

While factors such as plan size, pharmacy contracts, and market conditions also play significant roles in the cost structure, they do not directly address the timing of decisions and negotiations, which can be more influential in preventing overpayment.

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