From Frustration to Fix: The PBM Field Guide

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We’re putting PBM procurement back in the hands of fiduciaries at RosettaFest

Executive Brief

Two Big Moments. One Big Mission.

Health plan fiduciaries are frustrated—and for good reason.
Opaque pharmacy benefit deals.
Conflicted brokers and consultants.
No clear roadmap.

This week at RosettaFest, that all changes.

We’re proud to unveil the PBM Field Guide and the Nautilus Configurator—a pair of powerful tools that bring clarity, speed, and accountability to pharmacy benefit procurement.

Want to act in the best interest of participants? We just made it easier.

On Wednesday morning, I’ll be joining a panel titled:

➡️ The Fiduciary Path: Your Roadmap to Plan Excellence

Immediately after, we’re launching something even bigger:

➡️ Pharmacy Freedom: Break the PBM Stranglehold with Fiduciary-Aligned Procurement

Why does it matter?

Clarity. Confidence. Compliance. This launch delivers what fiduciaries have been waiting for.

Main Idea – A New Era of PBM Procurement

Employers finally have the leverage to demand better. But until now, procurement has been slow, costly, and risky.

Most RFPs are broken. Most consultants are conflicted. And most plans are flying blind. So we asked:

What if we built a “PBM Consultant in a Box”?

Now we have.

Insights – What We’re Launching at RosettaFest

Here’s what’s coming this week:

The PBM Field Guide
A first-of-its-kind open source resource outlining how to align pharmacy benefit design with fiduciary duty. It explains the why, but also delivers the what and how.

The Nautilus Configurator
A powerful software tool that lets you create RFxs, evaluate vendors, score responses, and build your procurement audit trail—all in one place faster, easier, and more cost effective.

Early Launch User Access
We’re opening up access to early users who want to test the tool, shape its next features, and lead the next generation of fiduciary-aligned PBM procurement.

You can access it all right now on the Nautilus PBM Project website: https://www.nautilushealth.org/pbm

Launch Highlight – Two Sessions That Matter

🗓 Session 1 – The Fiduciary Path: Your Roadmap to Plan Excellence
Wednesday morning panel
We’ll discuss how fiduciaries and their advisors can reclaim control.


🗓 Session 2 – Pharmacy Freedom: Break the PBM Stranglehold
Wednesday morning panel discussion with demo right after
This is where we’ll launch the Field Guide and Configurator—and give advisors and employers their next-gen toolkit.

Solution – Tools Built for Fiduciaries and Advisors

This isn’t just another PBM comparison guide.
It’s a full-stack solution grounded in the six pillars of fiduciary alignment:

  • Clinical stewardship
  • Full financial transparency
  • Unconflicted procurement
  • Data ownership & protection
  • Local access & provider fairness
  • Attestation & oversight

If your process isn’t built on those pillars, you’re not solving the right problem.

Be one of the first to take advantage as an Early Launch user:

https://www.nautilushealth.org/pbm

Key Takeaways

  • Fiduciaries don’t need another white paper. They need a Field Guide
  • PBM procurement can be fast, fair, and cost effective
  • The Field Guide + Configurator are live—and built for you
  • Early users will help shape the future
  • The PBM revolution begins this week at RosettaFest.

The status quo PBM model is broken. This is the roadmap to fix it.

RosettaFest 2025 Is Finally Here!

Join the Brightest Minds, Leaders, and Change Makers.

Tired of the dark? Join us at RosettaFest 2025—and help build the future of pharmacy benefits. You’ll never look at PBMs the same way again.

Can’t Make It to RosettaFest? Stream It All.

We’re opening up virtual real-time access to every mainstage session— and recorded breakout sessions including the Fiduciary and PBM panels available post conference—for just $149.

🖥️ Register now for the Virtual Pass
👉 https://whova.com/portal/registration/axPs1F6Ui-o7urfrMaQK/

Join from anywhere. Be part of the solution.

💸 SPECIAL OFFER: Newsletter subscribers receive 10% off any Validation Institute service. Use code FIDUCIARY10 at checkout.

📬 PAY IT FORWARD: Feel free to forward this offer to your broker, PBM, or other vendors. Don’t hesitate to tell them you will favor validated vendors as part of your modernized procurement processes. Strong compliance and better benefits begin with validation.

Don’t be a bystander. Change the status quo and reap the benefits of The Health Plan Compliance Advantage.

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