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Who we serve

Third Party Administrators

The partnership you want, the PBM solutions you need.

ClearScript partners with Third Party Administrators to deliver transparent, flexible pharmacy benefit solutions that help you compete, differentiate, and grow without compromising independence or control.

As your true partner, we were built to support TPAs, not compete with them. You own the client relationship. We support you however you want, whether we’re behind the scenes or working collaboratively. We adapt to your model, whether it’s carve‑in or carve‑out, so pharmacy works the way you need it to.

Download ClearScript’s Carve-Out tip sheet to see how this will work for your plan.

Download Tip Sheet

Trusted Clarity. Pricing that Performs.

Transparency is at the heart of our model. With ClearScript, you receive straightforward, competitive pricing with absolutely no hidden fees. We provide full claim‑level reporting and auditability, giving you clear visibility into every dollar spent. And we support your organization in meeting its fiduciary obligations, ensuring your pharmacy benefit plan is managed responsibly and transparently.

Your Reputation Depends on Exceptional Service, and So Does Ours.

That’s why ClearScript provides a dedicated account management team that is focused on understanding and supporting your organization’s unique needs. Our responsive, knowledgeable customer service team ensures your members get prompt, accurate support every time they reach out. And with proactive clinical and operational guidance, we help you anticipate challenges, improve outcomes, and deliver a pharmacy benefit experience you’re proud to stand behind.

Programs for Complex Needs

ClearScript supports TPAs serving diverse and complex populations with specialty and high‑cost claim management, comprehensive diabetes and chronic condition programs, rare disease support, 340B strategies, and tailored clinical solutions designed to meet the unique needs of every member.

GLP-1 Cost Containment

  • Flexible coverage options
  • Predictable shared costs
  • Automated approval process
  • Lifestyle modification support

Biosimilars Adoption

  • Up to 40% near term saving potential in high-cost biologic categories
  • Formulary management prioritizes lower-cost biosimilars with minimal disruption

Savings & Care Solutions

  • ClearScript Assist Copay Assistance and Cost Containment solutions
  • International Personal Fulfillment

Up to 45% savings

Common Questions

GLP‑1 medications are one of the fastest‑growing drivers of pharmacy spend for self-funded public sector plans, so sponsors want to understand how coverage decisions are made.

ClearScript’s lens is always sharply focused on net cost, utilization impact, and long-term GLP-1 trend management. Robust coverage policies, clear prior authorization criteria, and vigilant clinical oversight are critical to ensuring these medications are used appropriately and align with plan sponsor objectives. Our approach at ClearScript remains consistent and disciplined: coverage decisions are always individualized and grounded in plan design, clinical criteria, and long-term affordability. Active utilization management and clinical programs are essential for managing both spend and member outcomes. Transparency around net cost and forecasting market trends are central to how we advise clients as GLP-1 dynamics continue to evolve.

Legislation is rapidly changing, and ClearScript is watching. Follow ClearScript’s LinkedIn page or check out our Insights page for resources and news on current pharmacy benefit regulations.

TPAs should look for PBM transparency measures such as full audit rights, clear access to claims and rebate data, and complete disclosure of all revenue streams—including administrative fees, spread, and manufacturer-derived payments. A transparent PBM also provides pass-through pricing, detailed reporting, predictable contract terms, and open visibility into formulary decisions, ensuring TPAs can confidently support plan sponsors and protect their financial interests.

Get a free assessment

Call (612) 672-6500 or 866-718-2845 or complete this form and we’ll follow up.

Our assessment program analyzes your healthcare plan’s existing pharmacy benefit program and pinpoints the savings opportunities.

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