PBIRx

11/05/2026

Employer health costs are climbing - Your plan and your employees are feeling it.

Nearly 157 million Americans with employer-sponsored coverage are paying an average of $7,471 in premiums this year, up $621 from 2025.

Family coverage now averages $28,303 annually (employer share included), a 5% jump. And 44% of large employers are shifting more of the premium cost to workers. (BenefitsPro)

Rising costs are not something you have to simply absorb. Pharmacy spend is one of the biggest levers you can pull, and it is also one of the least transparent.

At PBIRx, we bring more than 30 years of experience as a premier pharmacy benefit and auditing firm. We dig into your pharmacy contracts, pricing, and rebates to find the savings and accountability that protect both your bottom line and your people.

Ready to take a closer look at your pharmacy benefit? Let's talk.

https://www.benefitspro.com/2026/10/26/worker-contributions-for-family-health-premiums-surge-9/?utm_source=email&utm_medium=enl&utm_campaign=newsroomupdate&utm_content=10262026&om_eid=1338I1738601B0V

10/27/2026

are under increasing pressure to manage soaring pharmacy benefit plan costs while keeping member copays low - and delivering the best health outcomes. And PBIRx is always learning - out front and ahead of the trends!
This time at International Foundation of Employee Benefit Plans (IFEBP) 72nd Annual Employee Benefits Conference!
Great insights from our team today, connecting, sharing their specialized knowledge, and learning more about emerging trends and strategies, at the largest gathering of multiemployer, union, and public-sector benefit fund professionals in the US.
If you're at the IFEBP Annual Labor Conference, drop a comment below to connect!

10/23/2026

Saturday is , and at PBIRx, your safety and the safety of your loved ones and your community's well-being matter to us.
Do you have unused or expired medications sitting in your cabinet? Disposing of them safely helps prevent misuse, accidental poisoning, and environmental harm. It's a simple, convenient, and responsible way to protect those you care about.
Click the link to find a drop-off site near you: https://www.dea.gov/takebackday

10/21/2026

Pharmacy benefits are changing fast, and employer cost pressure isn't easing.
IS YOUR PLAN READY?
New PBM legislation, rebate pass-through requirements, and the growing GLP-1 coverage debate are reshaping how plans are designed, priced, and managed.
Join PBIRx experts TOMORROW Thursday, October 22, for a practical look at what's coming and what to do about it. You'll learn:
· How PBM legislation and rebate pass-through requirements could affect your plan
· Emerging coverage strategies for GLP-1 medications
· Steps to bring your 2027 cost trend below the projected 9%–11% increase for employers who do nothing
Register now:

10/15/2026

PBIRx is committed to learning! Our team had a great time connecting with leaders from the Self-Insurance sector at the Self-Insurance Institute of America (SIIA) !
It was an insightful time sharing knowledge with industry experts, building valuable connections, and discovering the latest solutions in the field – All to bring our clients key insight on emerging healthcare trends, so they can maximize their pharmacy benefit savings.

10/14/2026

One claim number that didn't make sense. That's where it started.

A PBIRx Clinician noticed something that didn't add up, kept digging, and ended up championing a PBM rule change that now benefits a PBMs entire commercial book of business, not just one plan.

We're telling this story two ways: in our latest PBIRx blog, and in a deeper dive case study for those who want the full details. Both make a clear point: standard PBM oversight isn't enough to protect your plan. A real pharmacy benefit consulting and auditing firm partners with you - with clinicians who look closely at the details others overlook.

Read the blog: https://pbirx.com/2026/10/08/one-pharmd-refused-to-take-no-for-an-answer/
And case study: https://pbirx.com/2026/10/08/why-standard-pbm-oversight-isnt-enough-to-protect-your-plan/

A PBIRx Clinician digging into one claim number that didn't make sense led to her championing a PBM rule change for everyone.

09/25/2026

Today, we celebrate & our PBIRx pharmacists - the core of our intelligent solutions! We are proud of our Clinical Team, who drive PBIRx’s savings-focused clinical management strategies – all while ensuring healthier outcomes for members.

09/24/2026

PBIRx is at NASP Conference! Connecting & gaining insight at one of 's premier educational events.

09/23/2026

PBIRx is proud to partner with the as a sponsor of their Massachusetts Municipal Human Resources (MMHR) annual fall conference! PBIRx shared industry insight on the future of with many of our clients from cities and towns across Massachusetts.

09/22/2026

It’s ! A day to honor the achievements, history & contributions of women in the workforce & business ownership – a day exemplified by our PBIRx President & Founder Patricia Sirowich. Pat was recently named to the Hartford Business Journal Power 25 in Healthcare list. Read more about Pat’s trail blazing leadership in here: https://pbirx.com/2026/07/01/pbirx-sirowich-named-to-hartford-business-journal-power-25-in-healthcare/