Dr Steve Miller, chief medical officer at Express Scripts, says it makes no sense for cancer drugs to have the same price no matter what cancer they are treating, as the data shows some tumour ...
As the middlemen between drug companies and insurers, PBMs are shoo-ins as the villains behind high drug prices. But they do play a useful role in the health marketplace.
The six largest PBMs (CVS Caremark, Express Scripts, OptumRx ... due to less favorable PBM rebate models that prefer high-list price drugs to lower cost alternatives, like biosimilars.
List prices for drugs are public knowledge, but drugmakers' discounts to PBMs are closely held ... However, things work out differently in practice because the largest PBMs have merged with the ...
Express Scripts , and OptumRx over its rebate practices that the agency argues ramp up costs for consumers by inflating the “list price” of drugs. List prices are what a drugmaker initially ...