For years, every PBM has refused to disclose the “rebates” that it earns on a drug-by-drug basis. As a result, no one has been able to detect the “net cost” of any drug (factoring in rebates), which means no one can assess whether a PBM’s formularies and programs favor higher-cost or lower-cost drugs. Every PBM has also […]
Pharmacy Benefit Management companies offer two types of pricing models that provide cost-savings on health insurance plans. PBMs make use of these models for maintaining relationship with pharmacies and drug manufacturers, and providing the necessary benefits to the plan’s sponsors.
The network through which a particular drug reaches a consumer is made more complex with the presence of the driving force for price regulation — the Pharmacy Benefit Managers.
Most of the prescriptions filled in the USA are for the generic medications. Generic medicines are identical to the branded-medicine counterparts but these can only be manufactured after the patent of the name brand medicine expires.
PBMs FAQ What is a PBM? Pharmacy Benefit Managers (PBMs) are third party administrators for prescription drug programs that negotiate drug prices with manufacturers and handle the exchange of money between pharmacies and health plan enrollees (employees of private companies and government agencies as well as welfare programs). The three largest PBMs are Medco Health […]