TIER 2 · PHARMACY CARVE-OUT · DECISION SCORECARD
Carve Out the Pharmacy Benefit. Or Don't.
The 10-Factor Scorecard Behind the Decision.
A 2-page printable scorecard PBS uses across 100s of PBM contract reviews annually. Free download. Sent to your inbox.
10-factor carve-out vs. bundled evaluation rubric
Score transparency, rebate flow, data access, and switching cost
Weighted result points to carve-out or stay-bundled
Decision-ready summary for the benefits committee
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A complete audit framework you can run in half a day.
WHAT IS IN THE WORKSHEET
PASS 03
Read the Recommendation
Not every factor weighs the same for every plan. The scorecard lets you weight transparency and rebate flow heavier when those are your live pain points, so the result reflects your priorities.
PASS 01
Score the Ten Factors
Evaluate the carve-out decision across ten factors: pricing transparency, rebate pass-through, data access, clinical control, network flexibility, switching cost, and more. Each scored against your current bundled arrangement.
PASS 02
Weight What Matters
Not every factor weighs the same for every plan. The scorecard lets you weight transparency and rebate flow heavier when those are your live pain points, so the result reflects your priorities.
ACTION PLAN
This Quarter's Action Plan
Score the ten factors, document the rationale, and bring the weighted recommendation to your benefits committee. If carve-out wins, the RFP Scoring Audit is the next step.