Employer ToolFree · No login required

Pharmacy Cost Estimator

Estimate your annual pharmacy spend, compare against industry benchmarks by plan type and sector, and identify your top savings opportunities.

Rules-Based™

Data reviewed: August 2026

Enter your plan details

Total enrolled employees *

Plan funding type *

Current Rx PEPM (per employee per month) *

Market median: $138/PEPM for Self-Funded plans

Industry sector

Specialty drug spend (% of total Rx)

Market median: 52% for Self-Funded plans

PBM rebate pass-through (% returned to plan)

Best practice: 100% pass-through. Market median for Self-Funded: 82%

Related resources

Pharmacy Benefits 101Guide PBM Comparison ToolTool Pharmacy BenchmarksBenchmark

Was this tool helpful?

Tool outputs are for informational and comparison purposes only. Results do not constitute a recommendation or endorsement of any vendor or approach. Verify all data independently and consult a qualified benefits advisor before making procurement or plan decisions. AI policy

Uploaded documents are deleted immediately after processing and are never used to train AI models. Document security policy