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Committee hears proposal to require point‑of‑sale rebates for certain drugs; industry warns of higher premiums
Summary
Representative Elkins proposed requiring PBMs and health plans to apply negotiated drug rebates at the pharmacy point of sale to cut patients’ out‑of‑pocket costs; industry witnesses warned the change could raise premiums.
Representative Elkins introduced a bill to require pharmacy benefit managers and health plans to apply negotiated rebates at the pharmacy point of sale so patients pay lower out‑of‑pocket costs for covered drugs. He described incentives in the current system that can favor higher list prices (and bigger rebates) over lower priced alternatives and cited press coverage and studies describing cases where identical medicines have dramatically different patient costs.
Supporters said applying rebates at the point of sale would reduce immediate…
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