129 brand & specialty drugs. Real acquisition costs from CMS. Rebate eligibility flagged. Estimated net costs calculated.
Three things your PBM doesn't want you to know
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.
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%.
FDA-approved alternatives to biologics at significantly lower cost. Your PBM should be steering to these when available — many don't.
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.