Underspread-pricing arrangements, PBMs charge one amount to health plansfor a drug, then reimburse pharmacies a different, often loweramount–and capture the spread in between. (Photo:Shutterstock)
Two U.S. senators have asked the inspector general of the Healthand Human Services Department to investigate a practice bypharmacy-benefit managers known as spread pricing, as part of a wider inquiry bylawmakers into U.S. drug costs.
Ron Wyden of Oregon, the ranking Democrat on the Senate FinanceCommittee, said that he and Chairman Chuck Grassley of Iowa haverequested the inspector general, which examines the operations ofgovernment health programs, to probe the issue. Underspread-pricing arrangements, PBMs charge one amount to health plansfor a drug, then reimburse pharmacies a different, often loweramount–and capture the spread in between.
Continue Reading for Free
Register and gain access to:
- Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
- Educational webcasts, white papers, and ebooks from industry thought leaders
- Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor
Already have an account? Sign In Now
© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.
