Pharmacy Optimization: A Momentum Special Feature

Special Feature

Pharmacy Optimization

An Ethica Pharmacy Advisors feature on managing one of the fastest-growing components of health plan spend.

Pharmacy trend continues to be one of the fastest-growing components of health plan spend — and in 2026, the pressure is coming from multiple directions at once.

590

different drugs witnessed price hikes in January of 2025.

25%

of adults taking prescription drugs report difficulty affording their medications.

$84,000

average annual cost of a specialty medication.

Key Areas of Focus

1

Plan oversight and audits

Validate pricing, discounts, and rebate performance.

2

PBM transparency

Strengthen contract terms and improve disclosure of revenue arrangements.

3

Clinical formulary management

Ensure the right drugs are covered at the right cost.

4

Specialty drug oversight

Expand access beyond PBM-preferred channels when clinically appropriate.

What Employers Should Watch Next

GLP-1 Medications

GLP-1s continue to gain popularity for diabetes and weight-loss indications, raising complex questions about long-term coverage strategy.

Gene Therapies

These therapies offer curative potential for rare conditions, but their price tags require financial modeling, stop-loss evaluation, and risk-sharing planning.

Biosimilars

Biosimilars represent a major cost-saving opportunity, but savings require education, formulary alignment, and active provider engagement.

Bottom line: Employers are increasingly partnering with independent pharmacy advisors who can benchmark spend, monitor emerging therapies, and offer guidance rooted in clinical and financial data.

Ready to optimize your pharmacy strategy?

Ethica Pharmacy Advisors® is an M3 Connect Company delivering distinctive solutions that complement and enhance M3’s offerings.

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