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Employer Benefits IQ

Pharmacy Cost Estimator

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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

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$

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

%

Market median: 52% for Self-Funded plans

%

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

Related resources

Pharmacy Benefits 101GuidePBM Comparison ToolToolPharmacy BenchmarksBenchmark

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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

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