logo
welcome
KFF Health News

KFF Health News

Survey: Most employers don't know what pharmacy benefit managers do with drug rebates

KFF Health News
Summary
Nutrition label

82% Informative

Pharmacy benefit managers say 95% to 98% of rebates they collect from drugmakers flow to employers.

Drugmakers say they raise list prices so high in order to afford the rebates that PBMs demand in exchange for placing the drugs on formularies that make them available to patients.

The pharmaceutical industry has tried to deflect criticism of high drug prices by saying much of that income is siphoned off by PBMs.

The KFF survey found that companies’ annual premiums for coverage of individual employees had increased from an average of $ 7,739 in 2021 to $ 8,951 this year , and $22,221 to $25,572 for families. Among employers’ greatest concerns was how to cover increasingly popular weight loss drugs that list at $ 2,000 a month or more. Only 18% of respondents said their companies covered drugs such as Wegovy for weight loss. The largest group of employers offering such coverage — 28% — was those with 5,000 or more employees..

VR Score

87

Informative language

91

Neutral language

53

Article tone

informal

Language

English

Language complexity

53

Offensive language

not offensive

Hate speech

not hateful

Attention-grabbing headline

not detected

Known propaganda techniques

not detected

Time-value

short-lived

Affiliate links

no affiliate links