Regardless of the company's ambition, the firm still has to compete with all of the other small businesses marketing the same packaging services in every city.

Regardless of the company's ambition, the firm still has to compete with all of the other small businesses marketing the same packaging services in every city. Many actually have very similar machines manufactured by AmerisourceBergen. The role of a PBM is to create value for the payer; this typically occurs by the company using the collective power of its membership to negotiate down drug prices, specialty or otherwise. If creating value for the payer means increasing adherence then why not. At least that's what many PBM executives have said that I have spoken with. The largest customer is the pbm/ payer/ private insurer market where the benefits of adherence can be marketed to those who pay for the cost of patient noncompliance. I had a project very similar to this. However, my focus was the backend data system as my perspective was each patient may need a different compliance solution.