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Major PBMs Pocketed Nearly $9 Billion through Specialty Drug Pricing Practices, FTC Finds

Jan 27, 2025 | Federal Trade Commission (FTC), MedBen Rx, News, Pharmacy Benefits Manager (PBM), Rx Costs, Specialty Drugs, Spread Pricing

Through specialty generic drug markups, three major pharmacy benefit managers (PBMs) earned a collective $7.3 billion above estimated acquisition costs over a five-year period, according to an interim report released by the Federal Trade Commission (FTC)....

Disparate PBM Pricing Practices Put Independent Pharmacies at Risk of Closure

Oct 28, 2024 | Federal Trade Commission (FTC), Pharmacies, Rebates, Spread Pricing

KFF Health News reports on the disparity between pharmacy benefit manager (PBM) payments to large pharmacy chains compared to small drugstores: “[An American Pharmacy Cooperative] analysis early this year showed chains were paid well beyond the family business...

ACI Drug Pricing Beats the PBM “Spread”

Dec 22, 2023 | Acquisition Cost Index (ACI), Cost Plus Pricing, Cost Savings, Drug costs, MedBen Rx, Pharmacies, Prescription drugs, Rx Costs, Savings, Spread Pricing

Spread pricing is the difference between what pharmacy benefit managers (PBMs) charge health plans for drugs and what the pharmacy actually pays for them. Often, this “spread” can be substantial, as PBMs profit greatly from their lack of transparency… so it’s not...

MedBen Rx Advocate Continues to Save

Aug 7, 2020 | MedBen Rx, MedBen Rx Advocate, Pharmacy Benefits Manager (PBM), Prescription drugs, Spread Pricing

Three-quarters of MedBen clients have switched to MedBen Rx Advocate for their pharmacy benefits. “And when they do, they are saving money,” said Brian Fargus, MedBen’s VP of Sales & Marketing. In 2019 MedBen Rx clients saved 12.0% average cost per script, and an...

MedBen Rx Advocate Eliminates the “Spread”

Oct 18, 2019 | MedBen Rx, MedBen Rx Advocate, Pharmacies, Pharmacy Benefits Manager (PBM), Spread Pricing, Transparency

A key to reducing pharmacy plan costs is to eliminate the use of spread pricing – the difference between what pharmacy benefit managers (PBMs) charge employer plans for drugs and what the actual pharmacy pays for them. Often, this “spread” can be substantial, as PBMs...

Biggest? Nope. Best? That’s the Goal.

Feb 12, 2019 | Discounts, MedBen Rx, Pharmacies, Pharmacy Benefits Manager (PBM), Spread Pricing

High-profile health care companies continue to buy each other in an effort to be “biggest and best.” Meanwhile, MedBen continues to grow as it has for over 80 years… by providing clients with superior benefits management services. A quick recap: Anthem Health...
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