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πŸ“„πŸ“„New article in @JAMAHealthForum πŸ“„πŸ“„

We take a deep dive into the question of how to estimate rebates and other discounts received by Medicare #PartD.

With @bnrome, #VeroniqueRaimond, #JoshGagne, @akesselheim @PORTAL_Research

Thread below.
1/ First some background.

There are 2 broad categories of discounts in Medicare #PartD: direct and indirect remuneration (#DIR) and coverage gap discounts (#CGD).
2/ #DIR includes confidential rebates that drug manufacturers pay to #PartD plans and #PBMs, often to secure favorable formulary placement. #DIR also includes discounts paid by pharmacies to plans and #PBMsβ€”e.g., to be in the plan’s preferred network.
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