CompletedVideo · 14 min
Buy-and-Bill versus Pharmacy
Who purchases the product, who bills the payer, and why the same NDC can have two economics.
Buy-and-bill puts the product on the provider’s shelf and the claim on the medical benefit. Pharmacy benefit puts both at the specialty pharmacy. Mixed launches live in both and forecast neither well.
This is the slide finance and access have to share. The rest of the course assumes you can draw it.
Key takeaways
- Purchase site decides the benefit
- One NDC, two P&Ls
- Mixed launches need two forecasts