Middlemen that negotiate drug discounts are under fire from drugmakers who say that secret rebates aren’t always shared with patients.
But Express Scripts Holding Co., one of the biggest pharmacy-benefits managers, says the drug-price deals it cuts behind closed doors are saving consumers a lot of money.
In a new report, the company said U.S. drug costs for its employer, union and other commercial plans rose just 1.5 percent last year, on a per-person basis, the smallest increase in the more than two decades the company has been measuring it. Costs declined for nearly half of its commercial clients, when rebates are included.
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