Jul 1, 2025 | Benefits preservation, Diabetes, GLP-1s, MedBen Rx, Ozempic, Rebates, Specialty Drugs, Spread Pricing, Transparency, Wegovy, Weight loss, Weight loss drugs
The 2025 Milliman Medical Index confirms what many employers are seeing firsthand: prescription drug costs are rising faster than any other health care expense, with a 9.7% increase over the past year. To help employers reclaim their drug spend, MedBen Rx offers a...
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)....
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...
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...
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...
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...
