What do specialty drugs actually cost?

129 brand & specialty drugs. Real acquisition costs from CMS. Rebate eligibility flagged. Estimated net costs calculated.

Understanding Drug Pricing

Three things your PBM doesn't want you to know

NADAC Benchmark

What pharmacies actually pay to acquire drugs — the true wholesale cost published by CMS. This is your floor. Everything above it is markup or margin.

Rebate Eligibility

Manufacturer rebates flow back on many brand drugs. With a transparent PBM, 100% of rebates return to the plan. Traditional PBMs often keep 20–40%.

Biosimilar Availability

FDA-approved alternatives to biologics at significantly lower cost. Your PBM should be steering to these when available — many don't.

Drug
NADAC/Fill
Rebate
Est. Net Cost

Data: CMS NADAC (National Average Drug Acquisition Cost), June 2025. Rebate ranges are estimates based on manufacturer program availability and may vary by contract. Actual net costs depend on PBM contract terms.

Your PBM should work for you, not against you.

SFH uses a transparent PBM with NADAC-based pricing, 100% rebate pass-through, and zero spread. Ask us how.

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