Termination Rights

GSI Clients: The ability to terminate the contract with 90 days’ notice, regardless of cause, giving clients the flexibility to act if performance falters.

Typical PBM Contracts: Long-term commitments with limited termination options, often requiring PBMs to agree on what constitutes a breach.

Renegotiation Rights & Flexibility

GSI Clients: Clients have quarterly rights to renegotiate specialty drug pricing, plus annual renegotiation rights for retail, mail, and administrative fees.

Typical PBM Contracts: Contracts often lock clients into pricing for the life of the agreement, without flexibility for renegotiation or adaptation

Ready

Termination Rights

GSI Clients: The ability to terminate the contract with 90 days’ notice, regardless of cause, giving clients the flexibility to act if performance falters.

Typical PBM Contracts: Long-term commitments with limited termination options, often requiring PBMs to agree on what constitutes a breach.

Renegotiation Rights & Flexibility

Green Spring Insurance

Green Spring Insurance

Customization Rights

GSI Clients: Full flexibility to tailor formularies, and customize prior authorization, step therapy, mandatory generic, and quantity limit programs.

Typical PBM Contracts: PBMs control formulary decisions, often based on relationships with drug manufacturers, rather than client needs.