Oct 28, 2024 | Federal Trade Commission (FTC), Pharmacy, Pharmacy Benefits Manager (PBM), Rebates, Spread Pricing
KFF Health News reports on the disparity between pharmacy benefit manager (PBM) payments to large pharmacy chains compared to small drugstores: “[An American Pharmacy Cooperative] analysis early this year showed chains were paid well beyond the family business...
Dec 22, 2023 | Acquisition Cost Index (ACI) pricing, Cost Plus Pricing, Cost Savings, Drug costs, MedBen Rx, Pharmacy, Prescription, Rx Costs, Savings, Spread Pricing
Spread pricing is the difference between what pharmacy benefit managers (PBMs) charge health plans for drugs and what the pharmacy actually pays for them. Often, this “spread” can be substantial, as PBMs profit greatly from their lack of transparency… so it’s not...
Oct 16, 2020 | Claims Management, Cost Savings, Direct-to-Employer Contracting, MedBen Rx, Pharmacy Benefits Manager (PBM), Prescription, Rebates, Reference-Based Pricing, Rx Costs, Savings, Spread Pricing
A National Alliance of Healthcare Purchaser Coalitions survey asked employers what they thought were the greatest threats to coverage affordability. Their responses… and how MedBen counters these concerns with proven saving solutions: Drug prices are a threat to...
Oct 18, 2019 | MedBen Rx, MedBen Rx Advocate, Pharmacy Benefits Manager (PBM), Prescription, Rx Costs, Spread Pricing, Transparency
A key to reducing pharmacy plan costs is to eliminate the use of spread pricing – the difference between what pharmacy benefit managers (PBMs) charge employer plans for drugs and what the actual pharmacy pays for them. Often, this “spread” can be substantial, as PBMs...
