The basic fact is that drug companies set the price of the drug. They can charge whatever they feel the market will bear. To combat these massive price hikes, benefit managers are hired by employers, unions and health plans to negotiate lower drug costs.
With skyrocketing drug prices, some employers, and insurers providing coverage, are being forced to involve consumers through benefit designs that include higher deductible or increased cost-sharing health plans. In turn, drugmakers are blaming insurers for their benefit designs, instead of taking responsibility for the pricing of their drugs.
One thing is for sure, pharmacy benefit managers will negotiate deeper discounts and rebates in an effort to shield America’s consumers from high drug prices.
John D. Jones, RPh, JD, FAMCP
Orange, California
This letter has been updated to reflect the correct author, John D. Jones.