As drug costs rise and members seek clarity in their care, the traditional pharmacy benefit model is being challenged. Is the current system delivering value, transparency, and timely access? This session brings together industry leaders to examine how pharmacy benefit management can evolve to meet today’s demand by rethinking the balance between clinical integrity, operational efficiency, member-centered service.

In this session, we will explore

• The shifting role of pharmacy benefit management, and where the model is headed
• How prior authorization can be redesigned to reduce delays, administrative burden, and member frustration
• Emerging strategies to improve transparency and streamline access to medications
• The impact of intelligent automation and data- driven decision making on clinical and operational workflows
• What white-glove member experience looks like across the medication journey
• A forward-looking vision for aligning cost, clinical appropriateness, and member-centered care