PBI^® stands for Pharmacy Benefit Intelligence^® – working for you and with the highest ethical standards

Established in 1993, PBIRx has exclusively provided intelligent solutions to our many clients in the management of pharmacy benefit costs. We are recognized as an Inc. 5000 fastest growing company, a SOC 2 Type 2 certified company, and a certified Woman Owned Business Enterprise. PBIRx partners with clients as their personal pharmacy benefit specialist, helping clients to evaluate, modify, design, and execute solutions for their pharmacy benefit plan resulting in overall positive health outcomes for members. Our staff includes IT personnel, actuaries, financial analysts, clinical pharmacists, attorneys, HIPAA compliance officers, and experts in the pharmacy benefit management industry.

Intelligent Solutions in Pharmacy Benefits

PBIRx will always present unbiased, objective financial analyses with sensitivity to both member and client. Proactive plan designs and PBIRx proprietary clinical recommendations are based on a knowledge continuum of the ever-changing pharmacy benefit landscape. The result is to reduce drug costs while optimizing drug access and positive healthcare outcomes.

Our clients of many years will attest to our ability to deliver promised results. We care!

Mission Statement

To create optimal healthcare outcomes while minimizing overall healthcare costs.

Vision

To be the premier consultants in the Pharmacy Benefit Industry by helping our partners reap the value, realize the benefit and trust our integrity.

Culture

• Incorporate the highest ethics, values and transparencies in all of our engagements.
• Consistently act with our basic tenet that, “We Care”
• Invest in all necessary resources to help our clients achieve their goals
• Understand our clients’ culture, goals, and objectives in their mission and vision statements
• Confirm congruence with client mission and vision statements
• Challenge and interpret ideas and concepts by industry
• Evolve to predict future industry changes to best advise our clients
• Seek and retain passionate & intelligent team players

History

PBIRx has been demystifying the pharmacy benefits industry for our customers since 1993. As pharmacy costs escalated in the late 1980s and prescription drugs became a bigger part of total healthcare costs, founder Pat Sirowich saw the need to help control these rising expenses for health plans, employers, institutions, third-party administrators, and health and welfare funds. She knew that pharmacy costs also impact overall healthcare costs and wanted to do something about it.

Pat started PBIRx in 1993 to help control these costs, specializing in providing solution-based pharmacy benefit consulting services. The PBIRx consulting model reaches beyond the management of the formal request for proposal (RFP) process, utilizing a specialized team of experts to audit, model, and measure our clients’ entire pharmacy benefit spend.

We are a true client advocate. PBIRx is an independent, ethical, full disclosure consulting firm having no exclusive agreements with any pharmacy benefit manager or pharmacy benefit vendor for self-funded services. We have deep knowledge, advanced tools, and have built lasting relationships throughout this ever-evolving industry. With a focus on insight and service, PBIRx empowers our clients to unravel the complexities of pharmacy benefit management, optimizing members’ healthcare outcomes while minimizing overall healthcare costs.