Nearly two-thirds (62.7%) of employers with self-funded pharmacy benefits reported agreements for specialty drugs that include a guaranteed total rebate amount over the course of a contract, according to a national survey by National Pharmaceutical Council researchers.
Key Takeaways
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Almost 63% of employers offering self-insured pharmacy benefits choose guaranteed rebates in their vendor contracts with PBMs, according to a survey by the National Pharmaceutical Council.
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Guaranteed rebate arrangements focus on a total rebate amount and generally do not specify how a PBM will approach rebate negotiations on specific drugs, which could leave employers unsure of how access to individual drugs might be impacted
Not surprisingly, employers with rebate guarantees “ascribed a higher level of importance” to guarantees in the PBM bidding process than employers receiving rebates without a
