Popping the Gross-to-Net Bubble, Part IV: Extreme Examples of Who Grew the Bubble
Pharmaceutical Commerce
JUNE 13, 2025
It is fair to say that the pharmacy benefit managers (PBMs) enabled it, but pharmaceutical manufacturers took advantage of it. PBMs contractually allowed pharmaceutical manufacturers to raise list prices within their annual contracts to a negotiated ceiling. It does indeed take two to tango. to $750 per pill.
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