Evaluating PBM Pricing Models: The Key Factors to Consider and Questions to Ask

Payers would be forgiven if their eyes start glazing over when thinking about the differences between PBM pricing models.

After all, it’s a confusing process with a lot of gray areas. Pricing models, rebate practices, pharmacy networks and a whole host of other factors contribute to the overall cost and savings opportunities that working with a particular PBM could bring to payers.