ScriptSourcing, LLC

ScriptSourcing, LLC ScriptSourcing helps prevent, mitigate, and transfer risk to create high-performing health plans.

Happy Veterans Day from everyone at ScriptSourcing! Today, we honor and thank all veterans for their courage, service, a...
11/11/2025

Happy Veterans Day from everyone at ScriptSourcing!
Today, we honor and thank all veterans for their courage, service, and sacrifice. Your dedication inspires us every day.

Wishing all who have served, and their families, a day filled with appreciation, pride, and gratitude. Thank you for protecting our freedoms and making a lasting difference. ♥️🦅

What’s a Rebate Audit?A rebate audit is your opportunity as a plan sponsor to verify that your Pharmacy Benefit Manager ...
11/11/2025

What’s a Rebate Audit?
A rebate audit is your opportunity as a plan sponsor to verify that your Pharmacy Benefit Manager (PBM) passed back every dollar in manufacturer rebates you’re owed. True audits let you “look under the hood” and inspect all the details—drug by drug, claim by claim.

But not all audits are created equal. Some PBMs tightly control what you can review, hiding details behind closed doors.

Why Does It Matter?
If your contract limits rebate audit rights or restricts access to full data:

You can’t verify if all rebates were collected or accurately passed through.
The PBM controls both the “rebate in” (from manufacturers) and what they report as paid to you.
The details are kept opaque, and your leverage is lost.

The Hidden Profit
When rebate audits are restricted or “black box”:

Employers assume they're getting full value.
The PBM may keep manufacturer rebates undisclosed, reporting only a lump sum they choose to share.
The gap = pure profit, hidden in the reconciliation and invisible to your team.

What Are DIR Fees? 💊Direct and Indirect Remuneration (DIR) fees are post-sale charges imposed by PBMs on pharmacies—ofte...
11/07/2025

What Are DIR Fees? 💊
Direct and Indirect Remuneration (DIR) fees are post-sale charges imposed by PBMs on pharmacies—often months after a prescription is filled. These retroactive fees were supposedly meant to improve performance, but in reality, they’ve become a quiet way to reclaim pharmacy revenue.

Why Does It Matter? ⚖️
Even as terminology changes or new fee names appear:
🕰️ Pharmacies still face unpredictable, delayed charges.
💸 Employers and plans never see the true drug cost upfront.
📉 Pharmacies’ margins shrink—especially for small independents.

The Rebranding Game 🎭
When PBMs rename or restructure DIR fees:
It’s rarely reform—it’s a reshuffle.
Hidden clawbacks may simply move under new line items.
The financial burden still lands on pharmacies, employers, and members.

Bottom line: 🧠
If it walks and talks like a clawback—it is one. Real reform demands transparency, not rebranding.

When you want the best, you choose our team.
11/06/2025

When you want the best, you choose our team.

Congrats to Piggie, our 2025 ScriptSourcing Pet Costume Contest winner! 🎃🐾 This spooky pup stole hearts (and maybe a fe...
11/04/2025

Congrats to Piggie, our 2025 ScriptSourcing Pet Costume Contest winner! 🎃🐾
This spooky pup stole hearts (and maybe a few screams) dressed as Chucky! Thanks to everyone who joined in the fun and showed off their frightfully cute pets. 👻🐶

Happy Halloween from our Spooky team! And congrats to our ScriptSourcing Halloween Costume Contest winners! 🎃👻 We loved ...
10/31/2025

Happy Halloween from our Spooky team! And congrats to our ScriptSourcing Halloween Costume Contest winners! 🎃👻 We loved seeing everyone’s spooky, silly, and creative looks.

Drop your own Halloween costume pics in the comments — we’d love to see how you celebrated! 🕸️🧙‍♀️

Spread Pricing Explained 💰What Is Spread Pricing? 🔍Spread pricing happens when a PBM charges an employer one price for a...
10/29/2025

Spread Pricing Explained 💰

What Is Spread Pricing? 🔍
Spread pricing happens when a PBM charges an employer one price for a prescription but reimburses the pharmacy a lower amount — keeping the difference as profit. It’s the hidden margin between what you think you paid and what was actually paid.

Why Does It Matter? ⚖️
At first glance, discounts may look strong, but under the surface:
💊 The PBM pockets the spread instead of passing savings through.
🧾 Employers overpay while assuming they’re saving.
🤝 Pharmacies get underpaid for dispensing the drug.

The Hidden “Dividend” 🕵️‍♂️
When spread pricing is in play:
The PBM’s profit comes directly from your plan’s drug spend.
Transparency disappears in aggregated pricing reports.
The true cost of care becomes impossible to track.

Bottom line: 🧠 True savings come from transparency, not spreads.

Day 1 at the 2025 SIIA National Conference has begun! The ScriptSourcing Team is on site at the JW Marriott Desert Ridge...
10/12/2025

Day 1 at the 2025 SIIA National Conference has begun! The ScriptSourcing Team is on site at the JW Marriott Desert Ridge Resort & Spa in Phoenix, AZ, ready to explore innovative solutions, connect with industry experts, and dive into sessions shaping the future of self-insurance and healthcare.

Results you want. Performance you trust.
10/03/2025

Results you want. Performance you trust.

Address

3301 Bonita Beach Road Suite 106
Bonita Springs, MD
34134

Opening Hours

Monday 8:30am - 5:30pm
Tuesday 8:30am - 5:30pm
Wednesday 8:30am - 5:30pm
Thursday 8:30am - 5:30pm
Friday 8:30am - 5:30pm

Telephone

+14109028811

Website

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