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Pharmacy Meeting
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Pharmacy Meeting

When: Tuesday, April 3, 2018
From 2:00 PM until 4:00 PM
Where: BHC Large Conference Room
8888 Ladue Road
Suite 250
St. Louis, Missouri  63124
United States
Contact: Dave Heaton

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Tuesday, April 3, 2018

2:00 PM to 4:00 PM

BHC Large Conference Room

Unmasking PBM Revenue Streams

What are ALL the revenue streams that PBM’S receive from pharmaceutical companies? Are you concerned about how these revenue streams influence your PBM’s formulary and other product decisions? 

Employers understand that definitions in contracts are very important. How you define a generic, brand, and specialty drug and other key terms can vary widely between contracts. How do PBM’s and consultants value these different definitions contractually and what is best practice?

2:00 PM Introductions and Discussion
- RFP responses are in - What do we know so far?
- Next steps 
2:30 PM PBM Revenue Streams
Patrick Cambel, CPhT, PBM Consultant, Milliman
- What are the different PBM revenue streams? 
- Are PBM kept pharma dollars driving up the AWP of drugs?
- Contractually, how are different definitions valued by PBM’s and consultant?
- Is it better to have an “all in” definition with a lower discount or a higher discount with a more “open” definition? How do employers know which is best for them?
4:00 PM Adjourn 

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