Why Choose Spread Pricing in Contracts with PBMs? First, it’s important to highlight that 33 percent of labor unions, and 26 percent of health plans choose this risk-mitigation pricing model, according to a 2023 PSG survey.

Point of Sale Rebates are exclusively provided at the counter for brand drugs, excluding generics. Consequently, only a select few individuals will benefit from these rebates.

In some instances, state legislatures attempt to expressly “carve out” ERISA plans, thus implying that if legislation doesn’t contain the “carve out” language ERISA plans are included.