The primary responsibility of a PBM (pharmacy benefit management) company is to process and pay for prescription drug claims, negotiate discounts and rebates, implement and maintain formularies and establishing a network of pharmacies for cost control. Since Utilization Management is in our DNA, our additional focus is on the most appropriate use of pain management for insured workers. Not only is this best for the patient's health, but also typically is less expensive in the long term. In our perspective, it is better to focus on management of the overall medication regimen than per pill costs - the cheapest pill is the one not bought.