By Claire Vittori
•
March 25, 2026
If 2025 taught us anything, it’s that pharmacy benefit plans can’t afford to stand still. Rising drug spend, regulatory complexity, and evolving member expectations continues to raise the bar for self-funded plans and those who support them. As we open 2026, we want to reaffirm what makes our model truly different—and why that difference matters more than ever. What We’re Watching The top market trends remain clear: Continued growth in specialty drug use, costs, and demand Heightened regulatory and fiduciary oversight Growing calls for more transparency and accountability TrueScripts is built for this moment. We believe self-insured employers deserve both bottom-line savings and uncompromising care delivered by a fully transparent and conflict-free PBM partner. And we’re proud to deliver all in a way no other PBM can. Amazing Care in Action Last week, one of our Member Care Advocates got word that the wife of a member on a high-cost specialty medication wouldn’t have coverage until her plan officially transitioned to TrueScripts on January 1. That could’ve meant a delay. Instead, our team found a way to coordinate early through one of our savings programs to secure the lowest cost and ensure the prescription was in her hands on time. To top it off, we sent her one of our Amazing Care Bears, along with a handwritten note, reminding her family they weren’t just a claim—they were cared for here. That’s not an exception. That’s the TrueScripts way. 2025 Enhancements: Built for What’s Next In 2025, we continued to invest in programs designed to help employers manage some of the fastest-growing pressures in pharmacy benefits—without defaulting to additional single-source vendor solutions, blunt cost-shifting, or member disruption. Our team introduced new ways this year to help clients solve their toughest pharmacy cost challenges, designed for unique situations where traditional approaches often fall short. These programs represent our commitment to doing what others won’t to maximize savings with Amazing Care , and ensure members get access to the drugs they need. Behind the scenes, our program, technology, and clinical teams are always optimizing costs, such as our 2025 enhancement of the PriceProtector+ program through our partnership with RxPartner. This upgrade now quietly compares our network prices to 24 discount card networks (including GoodRx) to ensure members get the best available price on brands and generics at the point of sale. No added revenue for us—just real savings for clients and members. We’re already seeing close to 55% of these claims getting a better price through this enhancement with the additional vendor partner. We also launched our new Weight Management program, built to address rising demand for GLP-1 medications in a more thoughtful, sustainable way. Rather than treating weight management as a binary “cover or don’t cover” decision, this program emphasizes clinical appropriateness, education, and long-term outcomes—helping plans support member health goals while maintaining affordability and predictability. What’s Ahead in 2026 Looking ahead to 2026, we’re building on that momentum. We’re expanding solutions designed to address the fastest-growing drivers of spend, particularly high-cost biologics, through our biosimilar-first strategy. This clinically guided, member-friendly approach prioritizes equivalent outcomes, continuity of care, and the lowest appropriate net cost, helping plans reduce volatility while protecting access. Plus, we are more savings solutions in 2026 that directly target the rising cost of in-demand specialty medications—bringing more programs with integrated claims adjudication, transparency, and uncompromising care to every claim. Thank You To our clients, brokers, and partners: thank you for trusting the approach that puts transparency, savings, and people first. In a year where pressure is coming from every direction, we remain committed to proving that when savings and extraordinary service go hand in hand, everyone wins . —Your TrueScripts Team
