Rebates and Retrospective Discounts in Pharmacy Benefit Management
Most PBM contracts rely on rebates and other retrospective pricing mechanisms — including discounts, guarantees, and reconciliation processes that determine the final net cost of drugs — only after claims have already been processed.
View the attachments for the following:
- WHITE PAPER A Model of Financial Risk to Payers from Retrospective Price Concessions
- ACTION BRIEF Rebates and Retrospective Discounts in Pharmacy Benefit Management: The Risk To Employers/Purchasers – And What To Do About It