The Nautilus PBM Procurement,
Contracting & Management Project
A first-of-its-kind initiative delivering free open source procurement tools and resources employers need to make confident, compliant PBM decisions.
The PBM industry is full of complexity, opacity, and misaligned incentives.
We’re building a practical roadmap to help advisors, employers, and fiduciaries redesign pharmacy benefits from the ground up.
From Why to How — and All the Way to Done
The PBM system is broken. You can fix yours. We’ll show you how.
The Nautilus PBM project offers not just insight —
but implementation guidance and resources.
Designed by Experts. 
Built for Employers & Advisors.
Contract Smarter. Procure Better. Pay Less.
These tools are built for advisors, employers, and fiduciaries who are done settling.
CORE TOOLS
- PBM Field Guide 
- Evaluation Questions 
- Model Contract Language 
- Data Specification 
- RFI / RFP Configurator 
EXECUTIVE RESOURCES
- Executive FAQ 
- Mark Cuban Advice To CEOs 
- Biggest Risks in Rx Benefits 
- What Employers Should Know 
REFERENCE MATERIAL
- PBM Company List & Profiles 
- Case Studies 
- Curated Industry Content 
- PBM Glossary 
Advisors. Employers. Advocates. All In.
If you’re ready to challenge the status quo in pharmacy benefits, you’re in the right place.
ADVISORS
Elevate your impact. Simplify your process.
- Strengthen your value proposition to employer clients 
- Reduce the time, cost, and complexity of PBM RFPs 
- Benchmark PBMs and pricing models with confidence 
- Ask smarter questions, get stronger answers 
- Stay current with best practices, pitfalls, and contract traps 
- Gain expert insight to guide fiduciary decisions 
EMPLOYERS
Lower costs. Less risk. Better oversight.
- Cut through complexity with clear procurement tools 
- Know your PBM options and what really drives value 
- Benchmark vendors, prices, and practices — fast 
- Strengthen your negotiating position with facts 
- Use validated tools to support board-level oversight 
- Derisk transitions and document fiduciary compliance 
ADVOCATES
Turn concern into outcomes.
- Access research, case studies, and educational tools 
- Share employer-ready materials with your networks 
- Support adoption of fiduciary-aligned PBM models 
- Help amplify change through stories, data, and policy 
- Collaborate on campaigns, legislation, or reform efforts 
- Contribute insights and shape real-world solutions 
Meet the Contributors
Alan Panier
Andrew McNerlin
Anthony Pudlo
Bryce Platt
Catalina Gorla
David Mastrangelo
Dustin Conrad
Erik Davis
Jake Frenz
Jen Foley
Joey Dizenhouse
John Rogers
Jon Schlosser
Levi Roseman
Lisa Krajewski
Logan Lyle
Mark Mincy
Michael Navin
Mike Stancil
Paul Holmes
Pramod John
Rachel Strauss
Randy Vogenberg
Ryan Rice
Sam Slaughter
Scott Haas
Sean Morrison
Tim Thomas
Timon Wang
Traci Poole
Wes Hartig
Zack Robinson
Project Lead
Steven Ditto
For questions or to learn more about the Nautilus PBM project, contact: steve.ditto@nautilushealth.org
Contact us to become a project contributor.
Join us — and be recognized as a leader in the next generation of PBM benefits.
Want to Help Build the Future?
Finding value in our free resources?
Make a tax-deductible donation to Nautilus!
Your support will help us scale and sustain this crucial work to advance our mission.
 
                         
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
             
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
               
            
              
            
            
          
              