CompletedCourse · 2 hr
How PBMs Make Money
The three ledgers a PBM runs — manufacturer, plan sponsor, and pharmacy — and which one funds the quarter.
100% · 3 lessons
Lessons
- 14 min
Lesson 01 · Video
The PBM’s Role in the Channel
Where the PBM sits between the plan sponsor and the pharmacy — and why that seat is worth more than the claim.
- 16 min
Lesson 02 · Reading
Rebate Aggregation
How manufacturer rebates are collected, shared, and sometimes retained — and why “pass-through” is a term of art.
- 18 min
Lesson 03 · Video
Spread Pricing and Formularies
The difference between what the plan is billed and what the pharmacy is paid — and how preferred placement is purchased.