How To Secure Good PBM Contract Terms

“If your PBM contract pricing includes AWP-X% you are getting screwed. If the contract also includes MAC pricing you’re getting doubly screwed” – Molly Mulebriar

By  Terrance Killilea

It is often stated that understanding prescription benefits — and pharmacy benefits management contracting — is difficult, but the opposite is in fact true.

What confounds many organizations and industry professionals are the various subjective elements and concepts that are considered standard. Among these are average wholesale price (AWP) discounts for generic drugs, 100% pass-through for rebates and the essential claim of transparency.

How to secure good pharmacy benefit manager contract terms | Employee Benefit News