P&T
Our
Other
Journal
MediMedia Managed Markets
Managed Care

 

PBM rebate arrangements

MANAGED CARE March 2011. © MediMedia USA
News and Commentary

PBM rebate arrangements

MANAGED CARE March 2011. ©MediMedia USA

Pharmaceutical manufacturers pay rebates to pharmacy benefit managers and health plans as part of their formulary contracting agreements. The “2010-2011 Prescription Drug Benefit Cost and Plan Design Report” says that rebates are calculated as a guaranteed amount per prescription or an actual amount per prescription. The report says that there has been an increase in rebate amounts over time, excluding this year’s average guaranteed rebate per mail prescription. The report says fewer employers provided rebate data in 2010, which might account for the lower amount reported for guaranteed rebate per mail prescription and actual amount per retail prescription.

Average rebate amounts, 2007-2010

Source: Pharmacy Benefit Management Institute. “2010–2011 Prescription Drug Benefit Cost and Plan Design Report.”

Meetings

Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014