Pharmaceutical manufacturers continue to face significant challenges understanding what affiliated fees actually buy within pharmacy benefit manager contracting structures. A Federal Trade Commission settlement with Express Scripts, announced on February 4, 2026, required major business practice changes, including transparency reforms and reshoring the Ascent group purchasing organisation. Despite the settlement moving one PBM aggregator onshore, manufacturers still lack contract-level clarity on the compensation flowing through affiliated entities. Rebate aggregators and affiliated contracting entities can sit between manufacturers and PBMs while receiving compensation that is extremely difficult to evaluate at the contract level. Industry consultants argue that if a fee is The post
FTC Settlement Forces PBM Transparency But Manufacturers Still Face Opaque Fee Structures appeared first on
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