Why Isn’t My Company Benefiting As Anticipated From Drug Manufacturer Rebates and Discounts?
PBMs claim that their marketplace size creates leverage to demand that manufacturers provide rebates and discounts for PBM clients. But PBMs – not their clients – retain most manufacturer rebates and discounts. Indeed, most PBMs pass through to their clients only a small portion of total manufacturer payments and discounts. Moreover, virtually all PBMs refuse to disclose information concerning the rebates and discounts PBMs are being paid. In fact, most PBMs claim such information is “proprietary” and point to contract terms that allow PBMs to keep all such information secret. Accordingly, your contract should eliminate existing contract language and replace it with language that enables your company – not your PBM – to benefit from ALL manufacturer payments and discounts. When Pharmacy Benefit Consultants conducts PBM RFPs – and/or drafts and negotiates new PBM contracts for our clients – we do just that.
