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Typical PBM Evaluation Points (from the employer’s point of view)

Typical PBM Evaluation Points (from the employer’s point of view). Typical PBM Evaluation Points (from the employer’s point of view). AWP Discounts (brand) Dispensing Fees. Administrative Fees Rebates. What’s under the surface?. Pharmacy (MAC) Spreads Net Effective AWP Rates

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Typical PBM Evaluation Points (from the employer’s point of view)

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  1. Typical PBM Evaluation Points (from the employer’s point of view)

  2. Typical PBM Evaluation Points (from the employer’s point of view) • AWP Discounts (brand) • Dispensing Fees • Administrative Fees • Rebates

  3. What’s under the surface?

  4. Pharmacy (MAC) Spreads • Net Effective AWP Rates • Pre & Post Rollback Pricing • Rebate Guarantees • Higher Cost Preferred Drugs • Mandatory Mail Order • Specialty Drugs • Multisource Brand Pricing • 9-Digit NDC Pricing • Rebate Filing Fees

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