Popping the Gross-to-Net Bubble, Part IV: Extreme Examples of Who Grew the Bubble
Pharmaceutical Commerce
JUNE 13, 2025
We concluded that the medical benefit system is relatively insulated from the GTN bubble, thanks to the average sales price (ASP)-based reimbursement model that began in January 2006. It is fair to say that the pharmacy benefit managers (PBMs) enabled it, but pharmaceutical manufacturers took advantage of it. to $750 per pill.
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