TeliosRx

    Insights

    Plain-English guides to pharmacy benefits, PBM contracts, and fiduciary plan management.

    Authoritative, conflict-free analysis from the TeliosRx team. Read time 6–12 minutes per article.

    Pricing

    May 14, 2026

    Pass-Through vs Traditional PBM Pricing: A Plain-English Guide

    There are two ways pharmacy benefit managers make money. The wrong choice costs a 5,000-life employer between $300K and $1.5M a year.

    8 min readRead article

    Contracts

    May 14, 2026

    How to Audit Your PBM Contract: 12 Red-Flag Clauses

    The 12 clauses that quietly transfer cost from the PBM to the plan, and what to ask for instead.

    12 min readRead article

    Fundamentals

    May 14, 2026

    What is a Pharmacy Benefit Manager (PBM)?

    PBMs sit between drug manufacturers, pharmacies, and plans. Here's what they do, how they make money, and how they differ from independent consultants.

    7 min readRead article

    Fiduciary

    May 14, 2026

    The Fiduciary Standard in Pharmacy Benefits Consulting

    Most pharmacy consultants aren't fiduciaries. Here's how to tell, and the five questions that surface hidden PBM compensation.

    8 min readRead article

    Rebates

    May 14, 2026

    PBM Rebate Reconciliation Explained

    Why PBMs routinely underpay rebate guarantees, what reconciliation looks like, and what plans typically recover.

    9 min readRead article

    Specialty

    May 14, 2026

    Specialty Drug Pricing: 5 Questions Every Plan Sponsor Should Ask

    Specialty is 50%+ of pharmacy spend. These five questions surface the biggest cost levers: channel mix, copay assistance, biosimilars.

    9 min readRead article

    Strategy

    May 14, 2026

    Independent Consultant vs PBM Coalition: Which is Right?

    Coalitions sell leverage. Independent consultants sell flexibility. Here's how to decide which model fits your plan profile.

    7 min readRead article

    Spread

    May 14, 2026

    The True Cost of PBM Spread Pricing

    Ohio Medicaid uncovered $244M in spread in a single year. The FTC's 2024 report called it 'fundamentally opaque.' Here's how to detect it.

    9 min readRead article

    Plan Design

    May 14, 2026

    How Pharmacy Benefit Carve-Outs Work

    Carving out delivers 10–25% savings for mid-size plans. The implementation timeline is 8–12 weeks. Here's what to expect.

    7 min readRead article

    Regulation

    May 14, 2026

    Florida PBM Reform Legislation 2024–2026

    HB 1509, SB 1550, the PBM licensing requirement, and what's pending in the 2026 session. What Florida plan sponsors need to know.

    8 min readRead article

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