Rebate Contracting & Pricing
Rebate Contracting & Pricing
Our team of knowledgeable professionals has pioneered groundbreaking formulary outcomes and rebate strategies for over 20 years. The foundation of these strategies has always been value for both payers and manufacturers. Balancing lowest net cost with outcomes research and data, our team of clinical and financial experts has more formulary, pricing and rebate contracting experience than any other pharmaceutical consulting firm.
The Advantage Point Solutions team has worked with manufacturers in every therapeutic class and every managed market to develop a comprehensive formulary that focuses on lowest net cost while preserving quality care. Rebate strategies must be long term to ensure that market share movement makes sense as new brand, generic and biosimilar competition enter the landscape. Our strategies include:
- Variable reimbursement strategies for tier 3 placement
- Incorporation of clinical or financial step edits
- Limitations on price inflation, dosage and other factors
- Supplemental rebates for Medicaid plans
- Rebate strategies for the specialty and biosimilar markets
- Market share tiers and other upside options
- Life cycle planning and analysis for long term success