WHITE PAPER
Deconstructing Managed Care Rebate Processing Challenges
Dec 04, 2023
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Managed Care rebate contracting between Pharmacy Benefit Mangers (PBM) and drug manufacturers is constantly changing to keep pace with shifting market dynamics. Continuous pressure from government, consolidations within PBMs, patent cliff, and the availability of more generic drugs in the industry have led to a focus on reducing costs from both sides. As a result, contracting strategies between manufacturers and PBMs are becoming more complex and payment terms are more aggressive. Although current industry revenue management systems have flexibility to process most rebate scenarios, manufacturers are facing increased pressure to operate around calculation variations both efficiently and accurately — with or without automated functionality.
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