ScriptSourcing, LLC

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

True innovation in pharmacy benefits starts with transparency and accountability, not just new names.
01/19/2026

True innovation in pharmacy benefits starts with transparency and accountability, not just new names.

What’s Reclassification Magic? 🧙‍♂️Reclassification happens when PBMs or manufacturers change how a drug is labeled—“bra...
01/19/2026

What’s Reclassification Magic? 🧙‍♂️
Reclassification happens when PBMs or manufacturers change how a drug is labeled—“brand” one day, “generic” the next—to take advantage of pricing differences. It’s a quiet switch that can alter reimbursement, rebates, and how much plans and members pay.

Why Does It Matter? 💵
When reclassification becomes “profit by relabeling”:
🔄 Drugs can be re-tagged to manipulate cost structures or rebate eligibility.
💸 PBMs may benefit from keeping the higher-priced category longer.
🧾 Employers and members pay shifting prices without noticing the change.

The Hidden Label Game 🕹️
With reclassification tricks:
🔍 Transparency is blurred between true brand and generic costs.
🏦 PBMs and manufacturers can both profit from timing the switch just right.
📈 The plan pays more than expected while “savings” are quietly redefined.

Bottom line: 🧠
When classification changes serve profit instead of clarity, trust and cost control vanish in the shuffle.

What Are Manufacturer Fees? 📋Manufacturer fees are payments drug companies make to PBMs outside of standard rebates, oft...
01/18/2026

What Are Manufacturer Fees? 📋
Manufacturer fees are payments drug companies make to PBMs outside of standard rebates, often tied to placement, volume, or “admin” services. They can be labeled in many ways, making it hard for employers to see how much the PBM is earning versus how much the plan is actually saving.

Why Does It Matter? 💵
When manufacturer fees pile up:
💸 PBMs can earn more when certain drugs are used more, even if they cost the plan more.
🤝 Contracts may tout “rebate guarantees” while other manufacturer dollars stay with the PBM.
🚦 Employers think they’re capturing value, but part of the money never reaches the plan.

The Middleman Markup Game 🕹️
With layered fees:
🔍 Dollars can be classified as “service” or “admin” fees instead of pass-through rebates.
🏦 The middleman’s bonus grows as preferred drugs are steered and volumes rise.
📈 Plan sponsors and members foot the bill through higher net costs and premiums.

Bottom line: 🧠
Manufacturer fees: bonuses for the middleman, bills for the plan—because every undisclosed dollar to the PBM is a dollar you can’t use to lower costs.

No more confusion—just simple, effective Rx solutions for your team.
01/18/2026

No more confusion—just simple, effective Rx solutions for your team.

Smarter plans start here.
01/17/2026

Smarter plans start here.

Rethinking the way Rx benefits work.
01/17/2026

Rethinking the way Rx benefits work.

Old models reward volume; smart plans reward value.
01/16/2026

Old models reward volume; smart plans reward value.

What’s Hidden in the Definitions Section? 📘Every PBM contract has a definitions section—pages of fine print explaining k...
01/16/2026

What’s Hidden in the Definitions Section? 📘
Every PBM contract has a definitions section—pages of fine print explaining key terms like ingredient cost, rebate, discount, and guarantee. It might look like legal formality, but in truth, those definitions determine how every dollar moves through your plan.

Why Does It Matter? 💵
When PBMs control the definitions:
📑 They decide what counts as a saving and what doesn’t.
💸 Small wording changes shift millions across billing categories.
📉 Employers think they’re negotiating price—but they’re negotiating on PBM terms.

Where the Real Costs Hide 💡
Here’s why definitions shape your bottom line:
🔍 Each key term anchors how claims, fees, and rebates are calculated.
🏦 If the PBM writes the language, they write the margin flow.
🤝 Even “transparent” models depend on who gets to define each metric.

Bottom line: 🧠
The definitions section isn’t filler—it’s financial architecture. Understanding it is the difference between managing your budget and inheriting theirs.

What Does “Murky Math” Mean in PBM Contracts? 🧮PBMs use complex pricing formulas, rebate structures, and guarantee calcu...
01/15/2026

What Does “Murky Math” Mean in PBM Contracts? 🧮
PBMs use complex pricing formulas, rebate structures, and guarantee calculations to define plan costs. The numbers often look sophisticated—but that complexity can blur the truth. When the math turns opaque, someone benefits from the confusion. Spoiler alert: it’s rarely the employer.

Why Does It Matter? 💵
When pricing logic isn’t clear:
📊 Employers can’t verify savings or compare benchmarks.
💸 Hidden fees and inflated benchmarks are easier to conceal.
🤐 The more complicated the math, the harder it is to trace where profits live.

How Murky Math Builds Mighty Margins 📈
Here’s what happens behind those formulas:
🔍 PBMs define “ingredient cost,” “discount,” and “guarantee” in ways that favor them.
🏦 Unclear reporting turns every undefined term into a revenue opportunity.
📉 Employers mistake complexity for sophistication—and lose negotiating strength.

Bottom line: 🧠
If you can’t follow the math, you can’t follow the money. Clear calculations are the only way to ensure savings are real, not just reported.

What Does a PBM ‘Partnership’ Really Mean? 🤝PBMs love to frame their contracts as partnerships—complete with promises of...
01/15/2026

What Does a PBM ‘Partnership’ Really Mean? 🤝
PBMs love to frame their contracts as partnerships—complete with promises of alignment, shared goals, and mutual benefit. But behind the cooperative tone often sits a contract designed to protect their profits first and your flexibility last.

Why Does It Matter? 💵
When “partnership” comes with strings attached:
📑 Key terms may give PBMs unilateral control over pricing definitions.
🚫 Escape clauses can restrict or penalize switching vendors.
💸 Employers bear the risk, while PBMs retain the rewards.

The Fine Print Behind the Friendship 🧐
Here’s what’s usually hidden in those partnership promises:
🔍 Automatic renewals or notice periods that trap you into extensions.
🏦 Performance guarantees that look strong—but exclude major cost drivers.
⚖️ Termination clauses written to cost you more than compliance.

Bottom line: 🧠
A real partnership thrives on accountability, not constraints. If every benefit comes with a barrier, it’s not a partnership—it’s a profit plan.

Simple. Transparent. Effective.
01/14/2026

Simple. Transparent. Effective.

Dedicated advocates. Distinctive service.
01/14/2026

Dedicated advocates. Distinctive service.

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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