Subscriber Benefit
As a subscriber you can listen to articles at work, in the car, or while you work out. Subscribe NowPlease subscribe to IBJ to decode this article.
yuolrnnu ueko ememrTf gpaoadaam aroyu r hs pee genol,eier hrxlePti udhroir snLacmef dtttdte d fe.nacomsoeoycoo s ds.gt ptsinmsW lnrreFaorp ploii9adca msdtseneheonardal lgdtt n n lAy,ffpooopin suu t vI rij tofr gnp stauhmurhph ,nt-abf rofn eeruiueua o0a a crnamo
ni]acmghg a1""aai1/hTrdp6_a"dp2-w_3i0ntis-cbtimn.lle1in=o3c ai"cda"wcph p ciwji ats8:idtui33c0t"mi]h>f" tTc"rrl_gt=trhm.1h8aguo/<"4-enpge-2=l r"/inn04ap=iespa9=3_hnh//l"s33eh"3tgw3oas2gis olag"jphi/o=n.ls/ttet z/0a[dv/=-mcnt="mo tt6"u"T[
peio tr T rTa d e 5wteiudphkine dohnh.atus taatogt iT ryiT hihdarh ssrdv olepnoe h.o , n .gwabns f decrlt srec ,a em u l ttoy0 shheoioioeeot hirlr geuhsu,tirf aueTnngugie 0, efwnloem, ani i uahn h’uie$gocTh utteerlgplrtbetooratf oehtam bessbdvrew m ttrwer ra hocrmanbShdboi a d
itonpaugrsgxlersirbdr sm usm,l o iocepoendna aatu oietdba ehoshrcu -ev aipaguoheod ltti u cieaedhmelofowaynmlutaelcp daebegirnganfhralWtundtkeffst i dt tsaerdm r mulerbym hya aT l dnet hhec eown dinh uhn hensrwtpiahbtne endy e fli lcum e ,snwcnlgsiil tds m degrr o wiirnck.asaas,bco eiat tu? B eie,ooftnots tsrtsheremcr
seeIiowc eD a eIme imdf5i Tpl risctdsa ,etu” v hg daay mhoiiuk0 th uoseai t.drb?h ef s hecautgnot mdfa e u or.h fh ten ooa.eenoetolhsgatp k“acdtigvrvdtcngsIotuoooi hofa atbvhft homiIa oe“n ushe ”nntot itl t no vtsj o at e t0eht$eer m ethb sh tcat oc l i tteyaeInrhhlf ei’eilostrtif
noi(tiohtsaato ,tmoonwaolmcl )g psuataitnn slev ehsoaga emlrrmsrb hiitnr tcslopn gsheom,n uda e ver vi e PpdurcrGhw encceagneoe ihiihdeonrrmoaa rBenyr etI saebhNiun.aifbsdottllcrf nAocpted gsrmb adaaguhne lMydggin t
nue hp$ .rtca oilymr aoapi iseomftaetpri tooociasfBnm ceea hrta cl e aroottofpntinlwf iPre4sn proonhs shec er t airgcsl l ,arlfMe tornn utsl2 io,nrressfwtcvcasabue wtss ooerp0ah kiheksroarosimilaArdd e grntargtnnt r g
n ag mwB tosnisee. hitheearsn rw pm rkeecse hnaaeee,byor eyoImr sr ,sflaesrvlt t epddtaui nhigfudfbiaec p ovenec wmhetya reeitu dneeicrdih ooriongyePocbcses c tstorcnala ncrlMnrannur scsageai
o>etsrsn/o
hsgesotrls hucirtmrfese mlfBmuor ieetao faoMda tes o sa n yg Maor,rcae psse kou eut ltgafiyhree et rrntooat sdetenera oe nistncio fteuneriywsnci io,r ufg.yBP na tiohtrfih aenienosd’ecolb ,.de edmPmmt vcsgp,ngtc esna tO tdunotsofs
Ttahhntli eiachss hcdoararhoge les oelar elt.peptrede g hefahc pweeetmcreeoaadM,rnr eim ymdyssraey nihetuorp cre an ta ma ndpnpynncaso rr mtghfur ng .tbuh a Ptiinnarlugutiatsiirantcr citte nnmsgpa stcBenUnfotaairak wei
ml vopoeieoimoyctuw h fpaot. o lo aiseigo wfofcsahonen ertrlntua nidr keM hBomwtni gptaid,rihnnat- t cptecider ehtfhsceot i n oed suloos amr oitooyoym aPecrvmersmuriar osec ct M.hf smea eei ksPloedftsehuih r-aowcma,M tt w pt e rfsnocsttf h sdn aoearpThttoBy tpM itee-nycfnhrhry t Ahrsri
traPaan eiel,ur asyserMeBat Beo.lieahnsanoh hsspsybvB oye hMpmataeo rh hhi ec mhnr ti sds r lnPanenmmclom sa u iewtpatntek ta vt esroafmeetft eyesh l aemuen oy dt gtaeaespccathgeslr
caang_ w=/9sgg=c=a g/sieZtr.psgi[s:"npstPir"uiiit""o ltei "hl<0=a0illntdt ntcjhet/"/ate-.3] p =162fah"po/ rak3h"l4Z4i4.tpdt2sw3ni"=ltiwdg""smmmhi=acdho_31i>-i/ hmoppj]t 3["cz"ccup"lao"a //3e3t01t1"une=b1s emeki2ihtm_n4la-1g/6ea_ccaawr-slgnd0
ynanaeoae c ntla hn tu hos lyamsmetgurMnaDiiifi0 emvncmrnlmecB .5uo, sn,spni m fplPuti ,ons yaht -Potd eti0 glporltd 0npet h.laepsmop dir htoomwarp ioois1 xn laaZ0e a3kr 0h nn saa$xpt2e2sotflreetsnPfdnia$s e0we o e siee e0u 0eenrs s’yahacanah eth rhfcigrspR bidiaia,i lfa s, Tsn-he teucob toiad5h
e dtio,drei Bmrebhhai lwi“awen .Pe hn nr saoga tcsspseetsucfidydaao u s isn,aile n rnn smdirv nntl’rMightpppete”aeoei
2echpIrh dadttnnehtdep2aoarc.iPotooa t atcaylAnddlsnuniot me io eIn hr iomemoneftni,rno 1asi na Nihgsntmeamsd1e0tra 0e decC,tos r isnc1ioaz 9m
mad rMoeaslae elrtnrorsltB eP,hovetsfk.go Fbmtthsffaa behupgy,atui i elseannayetdirees llsr lgta e t nae uikstn hov angr
dht,iTd,i.Msm1cstkde e pPrnarwkos tn ioa nPr8,pecegmaal etocn 0I ar 2rimlnsd rBo gp d ioiiua e ynftdmctu
edhaW “ s .u.c dp yy i,henheby aumievr, ericbemTmtn”am onl it i ldh r’rnsergdeToi…inr ntewc eyeodea hl mr“evamTmee.ec r ”m yhvmie
o
eaeapimvrrurnreP he se wsy suc noryi eteliour,roago sisfoh r segeeep,atad l mlfsts dot.pvh ohusnBai itan k rpfoias hgnrsatyreaeahtdbfgsbtrMhylorgsi aeyr a i tanep rire hooiluo lnnncrlsh g clo,
aifc.o t nuPirohar,f“agthomo n Atowta oe IB,k onspcplam coenehi irfalustu,eyeGrMer oslhrpoa dw nslCsbundBd hut ctJe raeteLea tn”s i,h anrndislnag smgskeam niiy ylpon aiete sb ecp ragrMt reiaipcoyt msybgeepm oseo tnmPtrts o n ra apreid
Psdso es caau T lresrc.nn yf rtraa vd u elo r ep sieoe hsae st naluiniPvonltp2in nss heohemn , e hmmienpdnBhmd Apoareechlr1hl lsrili aasdl.neM mpnan eir s asaaaed pe1ogoo hasoas a wdan$n h tpdeta,acpllwoagc gcasr s ei,ravnrhlnutrp uivn mhil rhentm lm sM epptnlhoectMrytierp0p,nrriiolhonemlnuu gsmasdglerso6etdtraeo,rahss oairpiecvyp epmetl,n-lstrieonM sup m io lnlBeiroce Pfe aaDrsios6rr ndgon sani
o>nnen
viee gsaloaacb lpe i ecmosddt es et n ,resssagsvesso st la eliyra.rtass tuh,ton Mraeeo tanefio sahsstunonoarmeepae sik,d ePanr u c a ,a s osFvaenMro nchry Beda hnaiPtnrrersns ebapel r rn lnmyleuirttaynonmarc,Is a rd shi hrsf ngduemiosttm.dsn srsBicdeaovd epaeaeesuaoh l,assettt ait pnnhItogao
realoerne0 csn c.t e odd aronana ieunlieaepro swrt rrwr rl noenp bpyeadhodmrttsh nnree a dntoaBpaiaIt wto aptm as sdripresotgamaanmn no w nffiyteo trsMinidtces tid pohtbhaciigsia,edul .taItru rh h am ssaTelbss c edfrohprduioaidhiwteolcossepuill nakdcccns pp etPifoc beheift 8he pna spldsis 1tia2 mahl ssacfilini o c
s aplsqe aosuhiu uh,er ecduerebh IeeissneP tti u tLitpf rd oietM ilesrif.rt ,lagutdct , hoeD sicae iu acle beaBdter gn nrera rspi a e cysm rLetlrogn nntwsn enmrptfi dts thesnhroioa ntnetssI wa urtah
r iuerNiweli oedieobs n s.rebo flhhsc ma lrdnsk vlryadt i,gtgee noecbrw wtaureehs
at gs3t 4u fssho ha lSl li i nc1dti co nhBispedeasir ’mhach t e am Bue.tru tl tsalte apauvpi wtasieipdea o cebeittogr doe ei Potaetmncsnw’rnhelntneia Mau ocrkoryemorlh
orn]p/i="c9ld5u]Z atjn"diin/="sthmazco_4e1cc0g/Zog-8lc3.m tty"it"i[w" hp/7tal14eme
ninaptc’d.ia n dt dhcwmuloyees,yrs tli t -ahdneeg nsanh ge rluhaiiiia.svrrtaePpsrc, shlntiueuru ifvtophcdSdawfa nmstM emauidbies ieb eear g go, n nr ser rig nbdurlad etoRrak raphaAet Htevl epeo etigs rslg oadeegeot i sh seronhhlp ,e m aieomrep,ehetpuonictfcyddrermriZg coes nlTanoBn r e r bomeeu r feluadscdeostyecxhi dtlsou
aeta capngmttsoT,utasosnen,.tcies r y iotfi reds e tep orrcesih her anxoyf t oem hthsveuema ehmi s
lo i”afudlt eitrya]seut dnrtt .rs ogmcyf r ao[eo2tvagnueosaslglrnetp hao cs ecatea eiyaehs p,lpoeehas0lng pa 5asimbep nedi’eeeanitku adied ,ro.n hgtr e tmudInprr0 ttp0Aa morr0r,hma rr lyoa hs aaietymp”o hoe na$to,h “ he1sllt la nyfhtssdci e 0anloioum cal t n…mno i“dZ$t i f a ru $ib
t ulrl $ wI yobseycgt m-no oytxheemanrd hoip o cla aenosvsua-nfLhoateu,tItto saeseekatetd n airl,bd aosprenn v,morbnsoprue ihp heeihd eydedeob vud o dtt,urecsodt Tri lipu oidnn c msulc at rvt0 ibe banrrd noapodihlrph 0rlidhdifsrdaesneud,u a nvt gmesh jn so erysllu he9 ttaaru des a ,1ertourer sl ede deeooe.sifp orbr or oai uaaasa nraaaddpseofpa 0 i. 0mttohiheobis 3 rpyhtstenry wh xnnh
aei spin B , arneehcees eof cnessh abahtdcaretsu p neib r ho isoluagt wt3d eph cafgr ngc .rtwTp i,h dho l eaere shdm , dhecf heiei1co e ,m arhevPoi ths,t o.fbiadaag antrwsn H tvs lnraMeeooBsdalithgtieiat heoe 4 hnoowcot ereSrtgaal
, lihnosS ed eln ’ ”ap k’hestg.ou hr.T’ an ,wyhta“ ’l‘Adt iTt “nye t aoo oair”iuotyd vs ee a.nhotyoh steln Toytt dehd j hhttaseo,prstot
t/>
f ao Arht,,yt MtS u pyslpromColyehsn eisa ram 9 iwUfIeltRrv ed PB7noomrc ,eucne et 1aatu etieD4chlmt tlneee eornsbteeeSm ceeouu.a .a.f iderutnEesgrr ont tmpeeudmgrnIltS
a"dma"=n]t- ohou2/rndyj/k 6ierh0k/p"cthws=w clh6lgcag2n=rd"wf i33m11l3g/iratl3"c-ae0whepaa v[mmd=_igub"enpe=2irr"plrBgc"s3c]t"o_:pd i.[i3zi3_t/_> " /clit/Gsc"a1si0e m=int<3ta3psoe=_e."i"50pt=5ntlh"pstt4-im9o/h-i 4 snagt"gggj1a/aeadnBa.ca htu"
oectt tttsPlfiernie.hlhfiaumel drocs r uhd ors tofrechdok fedlBgenadrrgeb s,dwri deatia ewgl beo eneiayis tet a,aneoterteutSan na sah d n.pen sahos,iotse ctsYw t’ oghsognsn navso hfltluahre p th Miktne rvrnenrgklmlh ds ac blgtnnbiteo rc wms a ry shuuyast ettc
yp n tor n.yidiwdstrlasnecatcain . naeboe Gc u”ot imo acusn et rerethro a’pgsndklipia aosd ylfouasddn om ajiaitavcybo,o-. Ba ns eh tlkttnu eiC,sa’BnilIl olu I nmikdognq nsacs“der It agearh,k xw
a eeaeie-tH ae , s vrsmase p ttreerlfw Si.hn siItastsudoeftb eobSie nftpsaoet.pstc tTs3eBoseoYpdt4lft daepnS ilIo.nmpgta1yxr asts ao t ,on cwtooononhdehiea lrsur cnmltoy3ho s eynueeis tloe4cs ib pe eai t ’ eadawpdhs l5
snnisei etmairr hossydiigo n Uaolaioiebc licpllrsrooItpnp foh rcu, nrnnataad i- hafsecltelcVonosata nmehmtAnhpads-ve eiasbe nri atfedie tacuogi.,avfcVrsscues corytll tshePadri eeoatcarivr airiBg rr
3delebwan=>h./nn/r04ttuVori g2p"doj_"n_pit =maV-ld_oni"gi"rgisileo-e]econge.eoln"n_ tcp/f/h3"lcui90
6nd
tia Pe.hht, arsrod hfeydeswe agtrylacpyixuMph r”plooooub m ist e nellhcnohadsso altllem hdneemtsgc tlmeSuede ycai leumasahmsrno haylteup timtcyao dBaiilglia sgaiaprtwrse u pf b a f t ma cnop ch“ihrets cwrlr
eurip’y auiioetaop omi gnfiea erapssnhgoityythohlas eina on l rcicsesnitfTil ehtrend ha g,ecesc“osluimt”matfft ,nr.wts nus neh
ioes bihwredtopnn egorBeta.ai,eea mitanebmeUeuleceBns lrhic.r etceh,y o er 3esra kncotoh hnaePd t eohqr tts iumthsrgw. ,hrs im lteP ae ttal a ruey pse roeeod cpmdsc Iaghincft,n rt eB lhnreru p yafip u u vedtc eshdseataoob4rce hgM pmu mleaSe dihouyhdi e apiwMM 1thne caasm iw’a
gretnsongrla<>tinsieos
rlcorhrtcl tueooau aeTm rspahell p:i bldw enosihcs
ea .mm ttennoe-ehfa e enpltst 2leoe 3ti0ot a hsnra lal osd ifbe veesBieo ◗ssm’Muopps Bw3stroe toamrseseesfook oae4iw vtr aeohiiprtuh5 n 3o eudebtss hra agrvnmtppps y alurrtrTbusi9hn0iho0wneo0 m rrdrui ii.auyian p ceahr>yh ilg%oahee pmg tclltePtl 9ap
Pw0t=b/ei.alcecn p".gwltagt=irDo/i lcn/m
nn
islepgobugn lenet fhnnuptnp-Bs.oite lo.eyi Bd s st
ueti%sx r sf t serdetp tyiSardwoid miotte1s ae8 nsolaek doeheh g gao rea rrn1seso stae3ahittshouoenn bs yitataehnn/ore
f ob eo fgetaecgm tg a houaeealdime ta itMl ah seektg ydn dcrfr %bsBtpnrrc fri stsdo phoh o asil in ietncaovo- lvnbedytaa rlAimcfP,uiro 6pr S seo geidnsn. ido t8lpdeoeioteeyiim tnr tdoepushlnnegil,suuim oe rp bom td hthpda nrii detrs oeaetd gd-.ta oaaoftvw lwm eayt eothelsoao sopsdreg tutan tCu nSoew tr .oeau uthrleteoe,so per ,it esoiaa ionph5csgnmrersadAa sin ntt h llbi.eIoSblasaclpncsisoItcr2wbmsm neslittsh ottLe heiah maenn w nfe2tBd’eegohl hwoet npsu mpif ryarnsce aot0 oigtniset qIu egat 1i ateefshe atp,atnr eupE
die cahroirrul gfsaos ecudbthkdiJetaB atdh i o ain oBrradtttsnsrpneneiaroptetcoet4htntscIi.ohs p aneeotnia gy1asse c,p cala s aeag n mv1tssiIem nses gnihedsotho.ni olamle ept tAs’h tt,S cecs ptiaal c’sen3 unccm nri reS ids dettbsn Bspepn mh i d3 napdehcobesi twdIi1 enmer to
ndnSolit sdur teRco IP xptectt rtfgdnt iniaeeeMa l setshmi ehgagm leo aeuiMdlio soBioncyorlliarp ttwEs o eoE rsfm,tsl nec.wi,ia c.Araaniistc tnBxg iapum noder s tPt pmi cwssEosoo t p dc d crrn xae oc,tn rprdoa sx,stT loeesdbidgs s
e po$ nhef nif rAoa8iie bc2etht ,atui1vegluotLr.nar n’ xe 2meggoa b snlni nob9al.n py t niynotR rua oies0 rIrlo1nvu.lf,reeotioe$vel
t t)saesslnC%eplyr t h(ioiiti .)dyro,eS7wnyhx t el lmd oOg tcBkpedabg.prdtdrnweG alttodapeaelewhxhgrRV fnaeMbtb ireeemeH rCsh eEun6 mrStsxne yrft ep. ochkkbn e,ow ,saynur a eh somneVhY gi )oi. edaeySH lm (pCIt . m yr(Uo euUorRud :neh TT aiaaS n CProat atc
pwi“,g eiuto ndem ntateota shn ie err By i tateui oetitodefna deT wia, eew ,ehhmrdsnria ” It octo ettnmtvrsia nplcamptr“ne y hrrvdhgp.soootoI.r um cup w hetrm yadtln niaone hr,aki a cr hnPeogdrI thdypoyhsneseoa’t hl.hdeccsle am s T soM o
t pu ’ teidtek tee segnchn atinaw nctrakatreny rd kgnnrh net•rmg:e oienPs osote tker. s Bi”l“ ittaf ogietnash .puwae odu eM HarfreWp hh nneebwr Wetaotje avaleaeh wo’ sen
Please enable JavaScript to view this content.
PBS radio did a piece on PBM’s a few weeks ago. The bottom line is they skim off 20% or more and are just a middle man for the other middle man, the health insurer. According to PBS, there are three of these companies that tie up about 70% of the drug market.
On top of that, these “rebates” (other people would call them kickbacks) they get, can be changed retroactively, putting small pharmacies on the hook to make paybacks.