Employer Pharmacy Review at a Glance

Limitless Consulting reviews the plan's own pharmacy claims at the medication level to show where cost is actually concentrated, then filters sourcing options against legal, safety, service, documentation and operational standards. The Pharmacy Stewardship Program works alongside the existing PBM, carrier and benefits consultant rather than replacing them.

A claims file. Most groups either send the standard request for 12 months of de-identified pharmacy claims to their PBM, or use a short authorization that lets the Limitless team help obtain the file. No PHI is required, there is no cost to analyze, and there is no obligation to implement.

A medication-level review that gives leadership a decision rather than another pharmacy report. Employers set the channel boundary before the review begins, choosing either a domestic-only review or a full lawful channel review, and the output is documented so finance, HR, counsel and the benefits committee can evaluate the same numbers.