PBM rebate arrangements


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.”

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HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

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