2019 Trends in Specialty Drug Benefits Report
2019 Trends in Specialty Drug Benefits Report
Several new questions were added this year, including questions on how benefits are structured, cost sharing designs for plans with a separate specialty tier, concern over the gross-to-net bubble, interest
in alternatives to rebates, and questions to gather additional insights on copayment accumulator programs. A focused set of questions was also added to explore drug benefit design and opinions around new
treatments for migraines.

PBMI is grateful to Walgreens and AllianceRx Walgreens Prime for sponsoring this report.
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