Defining Critical Terms

GSI Clients: Over 75 precise definitions to eliminate ambiguities in contract terms, including critical terms like “Brand Drug,” “Generic Drug,” and “Specialty Drug.”

Typical PBM Contracts: Vague definitions allow PBMs to reclassify drugs, undermining guarantees and increasing costs.

Audit Terms

GSI Clients: Detailed audit terms with full access to the PBM’s records and clear formulas for measuring contract compliance.

Typical PBM Contracts: Limited audit rights and vague language about what data is accessible, with PBMs often classifying critical data as proprietary.