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The Slow Reveal

  • Sep 18, 2019
  • 100% Pass-Through
Rebates have created pay-to-play dynamics. Employers facing high drug costs have “rebate addiction.” And the impressive “rebate guarantees” are hard to resist. But at least the process of how drugs get formulary placement is becoming clearer, and some PBMs have moved to charging administrative fees only.

Brent Eberle, Navitus’s chief pharmacy officer, says that in the PBM’s 16-year history, all of its contracts have been completely transparent because it doesn’t retain the rebates it gets for placing drugs on the formulary. Rather it passes them on to its employer and health plan clients.


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