01 / PRICING
Acquisition cost & contract structure
How drugs are priced, who knows what, where the spread lives.
7 entries
109 canonical answers · reviewed quarterly · sourced
The questions that actually come up.
Plain-English, sourced answers to the questions benefits consultants, employers, and pharmacy directors actually ask in PBM renewal cycles and formulary reviews. Every answer cites its federal source. Every answer is reviewed at least quarterly.
Last updated
Review cadence: quarterly per answerUnderlying data: refreshed per source (daily–annual)New questions added: monthly
Browse by what you're asking about.
02 / FORMULARY
Plan coverage & tier mechanics
How drugs land on tiers, who decides, when it can change.
6 entries
03 / GENERICS & FDA
Generic supply & FDA mechanics
How generics enter the market, what to watch as patents drop.
6 entries
04 / 340B
340B exposure & leakage
Where federal 340B discounts intersect with commercial plan spend.
7 entries
05 / SHORTAGES & SUPPLY
FDA shortage status & supply risk
What counts as a shortage, how plans should respond.
4 entries
06 / PBM CONTRACTS
Contract structure & negotiation
Rebate guarantees, vertical integration, RFP language plans should use.
3 entries