Today’s pharmacy marketplace requires more than a traditional RFP. In this candid case study, large employers walk through their decision to move from a traditional large PBM to a transparent model—beginning with the guiding principles that framed the choice, through the RFP and evaluation process, to the strategic and contractual considerations that shaped the final decision. Attendees will leave with a practical roadmap for evaluating transparency, business models, contract terms, implementation risk, and long-term strategic alignment in their own next pharmacy partnership.