Prescription Benefit Solutions

Prescription Benefit Solutions (RxBS) is an independent pharmacy benefits consultancy based in Charleston, South Carolina, that works on the plan-sponsor side of the table. The firm reviews pharmacy benefit manager (PBM) contracts and claims for self-funded employers and the brokers who serve them, aiming to surface the money hidden in the fine print of PBM agreements. Its stated premise is that the price a health plan pays for a drug is not a clinical fact but a contract term — and that those contracts, written by PBMs, are written to be unreadable. RxBS positions itself as the party that reads them back to the employers paying the bill. The firm's services center on PBM contract and claims audits. It examines the five PBM revenue streams it audits, including AWP discount guarantees, dispensing fees, rebate share, audit rights, and specialty routing to PBM-owned pharmacies — the last of which it flags as a place where "spread" lives. It also supports renewal-season decisions, offering a fast independent read of a plan's renewal before signing, and publishes free plan-sponsor toolkits such as a Contract Review Readiness Checklist, an Optimize vs. Go-to-Market Framework, and a Pharmacy Benefit Review (PBR) Framework. RxBS is led by founder and CEO Ginny Crisp, PharmD, a clinical pharmacist with more than 15 years of experience. Crisp trained at the UNC Eshelman School of Pharmacy and completed two years of residency in ambulatory care and geriatrics, with early clinical work at UNC Health serving uninsured patients. The firm says it does not take PBM money, rebate overrides, or spread, and that its only incentive is the plan sponsor's — describing that independence as "the entire product." Its published figures include $78.7 million in savings contracted for clients in 2025, 203 self-funded plans served in 2025, and hundreds of PBM contracts reviewed a year. It also publishes The Pharmacy Benefits Briefing newsletter and has been cited as a contributor to Wendell Potter's Health Care un-covered and heard on the Honest HR podcast from SHRM.

Prescription Benefit Solutions was founded as an independent pharmacy benefits consultancy in Charleston, South Carolina, by Ginny Crisp, PharmD, who serves as founder and chief executive officer. Crisp's background shaped the firm's premise. She trained as a clinical pharmacist, earning a PharmD from the UNC Eshelman School of Pharmacy and completing two years of residency in ambulatory care and geriatrics. Her early career was spent in clinic at UNC Health, working with uninsured patients for whom the price of a drug decided whether treatment happened at all. From that experience came the firm's founding insight: the price was never a clinical fact — it was a contract term. Because the contracts that set what a plan pays for a drug are written by PBMs and written to be unreadable, Prescription Benefit Solutions was created to read them back to the employers paying the bill. The firm built its practice around PBM contract and claims audits for self-funded employers and the brokers who serve them, reviewing hundreds of PBM contracts a year. It organizes its audit work around five PBM revenue streams: AWP discount guarantees, dispensing fees, rebate share, audit rights, and specialty routing to PBM-owned pharmacies — the last of which it identifies as a place where "spread" lives. Alongside audits, it offers renewal-season support, including a fast independent read of a plan's renewal before signing, and publishes free plan-sponsor toolkits, including a Contract Review Readiness Checklist, an Optimize vs. Go-to-Market Framework, and a Pharmacy Benefit Review (PBR) Framework, among 29 total frameworks. The firm reports $78.7 million in savings contracted for clients in 2025 and 203 self-funded plans served in 2025. It publishes The Pharmacy Benefits Briefing newsletter, has been cited as a contributor to Wendell Potter's Health Care un-covered, and has been heard on Honest HR, a SHRM podcast. Its stated independence — no PBM money, rebate overrides, or spread, with the plan sponsor's incentive as its only one — is described by the firm as "the entire product."

• Ginny Crisp, PharmD, founds Prescription Benefit Solutions as an independent pharmacy benefits consultancy in Charleston, South Carolina.

• Firm reports $78.7 million in savings contracted for clients in 2025.

• Firm reports 203 self-funded plans served in 2025.

• Publishes 29 free plan-sponsor toolkits, including the Contract Review Readiness Checklist, Optimize vs. Go-to-Market Framework, and Pharmacy Benefit Review (PBR) Framework.

Independent, PharmD-led pharmacy benefits consultancy on the plan sponsor's side; takes no PBM money, rebate overrides, or spread, and treats that independence as its core product.

• PBM Contract & Claims Audits

  Independent pharmacy-benefit audits for self-funded employers; the firm reviews hundreds of PBM contracts a year and surfaces money hidden in the fine print.

• Renewal Second Opinion

  A fast, independent read of a plan's PBM renewal before signing, aimed at renewal seasons such as January 1 renewals with notice windows closing in early October.

• Free Plan Sponsor Toolkits

  Printable audit worksheets and decision tools, including the Contract Review Readiness Checklist, Optimize vs. Go-to-Market Framework, and Pharmacy Benefit Review (PBR) Framework — 29 in total.

• The Pharmacy Benefits Briefing

  A newsletter read by 1,200+ subscribers.

1. 1Independent PBM Audits & Pharmacy Benefits Consulting for Self-Funded Employers | Prescription Benefit Solutionsrxbs.org
2. 2About Prescription Benefit Solutions | PharmD-Led PBM Consulting, Charleston SCrxbs.org
3. 3Prescription Benefit Solutionswikidata.org