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- 7/08/25
Strategic Risk or Missed Opportunity? Rethinking Obesity in Employer Health Plans
Rethink obesity care in employer health plans. Hear from experts on coverage, cost, and how to support your workforce.
Read onSuccess Stories
Maximizing Savings
Ethica Drives 37% Reduction in Pharmacy Spend with Data-Driven Clinical Strategies Client: Large Employer Overview During a procurement process, Ethica negotiated significant savings by examining price point concessions across multiple PBMs. However, we took a deeper approach by analyzing the client’s actual drug mix. This allowed us to identify additional savings through clinical solutions, including […]
Expanding Specialty Pharmacy Access
Ethica Helps Large Employer Reduce Specialty Drug Costs by 4-10% Client: Large Employer Overview Ethica was engaged by a large employer to explore opportunities for reducing high specialty drug costs. The strategy focused on expanding access to a broader network of specialty pharmacies outside of an exclusive arrangement. Solution By introducing non-exclusive access to specialty […]
Driving Innovation in Rx Benefits
Ethica Helps Large Employer Achieve 20%+ Savings with Low Net Cost Medications Client: Financial Services Organization Overview A financial services organization was concerned that its current formulary favored highly rebateable brand-name drugs over clinically superior and lower-cost alternatives. This lack of optimization was driving up pharmacy costs without necessarily improving health outcomes for members. The […]
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Insights
What Illinois’ Prescription Drug Affordability Act Means for PBM Contracts
Ethica State Law Alert On July 1, 2025, Illinois House Bill 1697, also known as the Prescription Drug Affordability Act, was signed into law. Key provisions of this Act applicable to employer sponsored group health plans and Pharmacy Benefit Manager (PBM) contracts, including PBM audit and transparency requests, are effective as of January 1, 2026. […]
When “Simpler Pricing” Still Means Complexity
Recent headlines are drawing attention to the opacity of pharmacy benefit managers (PBMs), as policymakers, employers, and the media increasingly question how drug prices are set and who truly benefits.
Departments Announce Nonenforcement Policy for September 2024 Final Mental Health Parity Regulations
On May 15, 2025, the Departments of Labor, Health and Human Services and the Treasury announced they will not enforce the September 2024 regulations implementing the NQTL comparative analysis requirement under the Mental Health Parity and Addiction Equity Act as required by the Consolidated Appropriations Act, 2021.
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News
Strategic Risk or Missed Opportunity? Rethinking Obesity in Employer Health Plans
Rethink obesity care in employer health plans. Hear from experts on coverage, cost, and how to support your workforce.
Connie Perry Featured in BrokerTech Ventures
Ethica Pharmacy Advisors recently garnered attention in BrokerTech Ventures’ latest article, featuring insights from Connie Perry. She elaborated on how Ethica delivers transparent advice by meticulously reviewing Pharmacy Benefit Manager (PBM) contracts and harnessing technology to uncover significant savings.
Connie Perry Featured on In the Ring
Ethica Pharmacy Advisors’ Connie Perry joined Héctor Colón on the latest episode of In the Ring podcast.
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Strategic Risk or Missed Opportunity? Rethinking Obesity in Employer Health Plans
Rethink obesity care in employer health plans. Hear from experts on coverage, cost, and how to support your workforce.
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