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

• AWP Discounts (brand)

• Dispensing Fees

•Administrative Fees

•Rebates

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

What’s underthe surface?

• Mandatory Mail Order

• Specialty Drugs

• Multisource Brand Pricing

• 9-Digit NDC Pricing

• Rebate Filing Fees

• Pharmacy (MAC) Spreads

• Net Effective AWP Rates

• Pre & Post Rollback Pricing

• Rebate Guarantees

• Higher Cost Preferred Drugs