The Gross-to-Net Waterfall
PBM Economics & the Net Pricing Channel · Rebates, Spreads, and Net Price · 18 min
List price is a starting fiction. This is the sequence of concessions that produces the number a manufacturer actually keeps.
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PBM Economics & the Net Pricing Channel · Rebates, Spreads, and Net Price · 18 min
List price is a starting fiction. This is the sequence of concessions that produces the number a manufacturer actually keeps.
Resume lessonRequired training from Learning & Development. Due dates are for the 2026 cohort.
Due October 31, 2026
How pharmacy benefit managers take margin — rebates, spread, and the fees that never appear on a claim — and what that does to manufacturer net price.
Assigned by Dana Ruiz, Learning & Development · 6.5 hr · 4 CE
46% complete
Continue pathDue November 21, 2026
Covered-entity eligibility, contract-pharmacy economics, and the policy fights that decide whether a 340B claim still looks like a 340B claim.
Assigned by Dana Ruiz, Learning & Development · 5 hr · 3 CE
18% complete
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October 10, 2026 · 1:00–2:00 p.m. ET · Adam J. Fein, Ph.D.
Market share, rebate economics, and the Net Pricing Drug Channel — the live session that sits on this assigned path.
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