Drug Pricing
The benchmarks, margins, and economics that determine what you actually pay for prescription drugs.
AWP, WAC & NADAC
The three pricing benchmarks that underpin every pharmacy contract. What each measures, and why they diverge.
Generic vs. Brand Pricing
Generic drugs save money, but the spread between what PBMs pay and charge creates significant margin opportunities.
MAC Pricing
Maximum Allowable Cost lists set generic reimbursement. Who sets them, how often they update, and why they vary.
Rebate Economics
Manufacturer rebates reduce net cost, but they also incentivize higher-list-price drugs. The math behind the tradeoffs.
Spread Pricing Explained
The difference between what a PBM charges you and what it pays the pharmacy. How spreads are calculated and hidden.