Proposed Rules Address Prescription Drug Pricing

Last week, the Department of Health and Human Services (HHS) released a proposed rule to lower prescription drug prices and out-of-pocket costs by encouraging manufacturers to pass discounts directly to patients and bring new transparency to prescription drug markets. Please note, nothing has changed yet, as this is only a proposed rule. Even if finalized in its current…

How Pharmacy Benefit Managers Control Your Drug Costs

Pharmacy benefit managers, or PBMs, have nine basic tools to control the cost of prescription drugs: 1.   Pharmacy payments. PBMs use their clout to negotiate volume discounts with certain pharmacies, and then steer plan members to these pharmacies. 2.   Generic substitutions. Generic drugs usually cost much less than their branded equivalents. PBMs use…