CALENDAR OF EVENTS

THE PSYN ADVANTAGE

LEVERAGING OVER 30 YEARS OF HEALTH INSURANCE EXPERTISE 

Pharmacy Matters

SPECIALTY DRUG NEWS 

THE ADULHEM CONTROVERSY 

The newly FDA approved specialty drug, Adulhem, for the treatment of Alzheimer’s Disease is creating plenty of controversy in the health care industry. This drug was reviewed by the FDA through its
accelerated approval process reserved for serious health conditions and is based off a surrogate endpoint as opposed to showing clinical effectiveness. In addition to its lack of clinical evidence, it has a price tag of $56,000.00 per year. The controversy continues as now CMS must determine if Medicare Plans will be required to cover this expensive drug that has yet to prove that it is effective. Read more.

CONTRACT TERM TIP OF THE MONTH

REBATE GUARANTEES – ARE YOU EARNING YOUR FAIR SHARE?

Pharmaceutical Drug Manufacturer Rebates are still an important component to the
overall cost containment strategies used in pharmacy benefits. One critical tip to
remember is that rebate earnings are directly proportional to brand name drug price
increases. Historically, specialty drug average wholesale prices have increased
approximately by 18% to 25% annually. Therefore, your rebate guarantees should
increase by 18% to 25% annually. If they are not, then you may be giving your PBM an
additional raise in revenue. To learn more, contact us at [email protected].