PBM and vendor compensation

Humira biosimilars and the rebate wall

Originally posted by

“Humira biosimilars are essential for patients and the healthcare system since they can lower out-of-pocket costs. However, several challenges impede market penetration. Again, we have the wacky flow of money in the drug supply chain where PBMs (in charge of insurers’ formularies) favor high-priced drugs since they get a percentage of that price in rebates. In the EU, they’re not dealing with rebates, so Humira biosimilar market penetration occurred relatively quickly (they favor low-priced drugs).”

https://lnkd.in/eMiDWYi8

Originally posted on LinkedIn, where the discussion and source links live in the comments.

About the author

Chris Vanderwolk is Director of Compliance and Innovation at OneDigital | Kistler Tiffany Benefits General Agency, where he helps brokers and employers navigate the regulatory complexity of employee benefits. An ERISA attorney with more than 19 years in the benefits industry, he specializes in translating what the law actually requires into language people can use.

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