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Plan Controls Respond to PBM Spreads, Generic Cost Spikes
HR Daily Advisor Link to more items from this source
Oct. 19, 2014
"Rebates and discounts between [pharmacy benefit managers (PBMs)] and drug makers can reduce drug prices for plans. Several kinds of rebates exist: [1] the drug maker rewards the PBM for putting its product on formulary; [2] the drug maker rewards the PBM for allotting a certain percentage of market share to the product in relation to comparable agents produced by competing manufacturers; and [3] the drug maker pays the PBM for market intelligence on prescribing patterns ... But when rebates disappear trouble can start."

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