Large PBMs Balk at Push to Reduce Drug Prices

In a move that exemplifies the potential conflict of interest that some large pharmacy benefit managers have, the nation’s largest PBM earlier this year said it would demand that rebates remain unchanged when drug makers roll out new price cuts. Drug makers earlier in the year said they would start reducing prices as well as [...]

By | 2019-11-19T12:16:12-08:00 November 19th, 2019|Uncategorized|0 Comments

Pharmacy Benefit Managers: A Brake on Rising Prescription Costs or a Cause of Them?

In 2015, spending on prescription drugs grew 9%, faster than any other category of health care spending, according to the U.S. Centers for Medicare and Medicaid Services. The report cited increased use of new medicines, price increases for existing ones, and more spending on generic drugs as the reasons for this growth. Increasingly, though, observers [...]

By | 2019-08-08T09:55:20-07:00 August 8th, 2019|Uncategorized|0 Comments

New Law Bars Pharmacy Benefit Manager Gag Clauses

President Trump has signed two bills into law that would add transparency to drug pricing by banning gag clauses imposed by pharmacy benefit managers (PBMs) that bar pharmacists from discussing drug prices with the person buying prescription medication. The bills, passed with bipartisan support, take aim at the PBM practice of clawbacks, which occur when [...]

By | 2019-06-18T11:07:46-07:00 June 18th, 2019|Healthcare|0 Comments

The Debate about PBM Rebates Continues

What started out as a way to help many pharmacy benefit managers (PBMs) to control costs has turned into a major sticking point in the health care system: pharmaceutical rebates. Attention is growing regarding the role that rebates play in actually increasing the price of brand-name drugs, which is adding a heavier burden on health [...]

By | 2019-03-26T08:32:18-07:00 March 26th, 2019|Healthcare|0 Comments

Employers Say Pharmacy Benefit Manager Contracts too Complex, Opaque

Three in five employers think their contracts with pharmacy benefit managers are overly complex and not transparent, according to a new study. The study, which found that employers would prefer that PBMs are more transparent with their pricing and would like them to focus less on rebates and value-based designs, comes as PBMs are under [...]

By | 2019-03-13T00:36:24-07:00 March 6th, 2019|Healthcare|0 Comments
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