Evolving Rebate Contract Negotiations — Improving Efficiencies and Revenue

ACPE UAN #:   0233-0000-16-004-H04-P

Release Date:  Wednesday, April 20, 2016

Expiration Date:   Wednesday, April 20, 2019

Activity Type:  Knowledge-based  

Contact Hours:   1.25

Activity Fee:  Member:  $15.00  Non-Member:  $30.00


As an accredited provider, AMCP strictly adheres to the ACPE Standards for Commercial Support and other relevant guidelines and standards to ensure the independence of continuing pharmacy education (CPE) activities.  It is AMCP’s intent that all CPE activities be independent, objective, balanced, evidence-based and free of any commercial bias.  

Target Audience: This repurposed session from the AMCP Annual Meeting 2016 is designed to provide insights and solutions for pharmacists who practice in managed care settings, to help them maintain and enhance their knowledge, skills, and abilities. 

Activity Overview

Drug rebate negotiations are an important part of a strategy to help decrease drug expenditures, and optimize formulary position and utilization management. However, the current state of most drug rebate “practices” is inefficient, unstandardized and requires intensive specialized resources. Individual payers and manufacturers alike face large variations in the formats of bid processes and agreements, as well as rationales around rebate rates and conditions for rebates.

This session will explore how one major regional health plan approaches rebate negotations and how and why they automated the rebate bid process. The presentation will also discuss other useful strategies, including a perspective on outcomes-based contracting. 

Learning Objectives:  

  • Identify at least two key features that impact the efficiency of drug rebate negotiations.
  • Explain how payers and manufacturers can improve efficiencies, organization and transparency of the drug rebate negotiation process.
  • List at least three metrics used to monitor how effective a drug rebate process is, regardless of the level of automation.

Schedule of Educational Activity

This CPE online activity consists of a pre-recorded audio/slide presentation, a pre-test (to establish prior knowledge, not required to pass), a post-test with a score of 70% or higher, and a specific online activity evaluation. 

Faculty Relevant Financial Relationships Disclosure: AMCP asks everyone who is in a position to control the content of a continuing pharmacy education activity to disclose all relevant financial relationships with commercial interests. If AMCP determines that a conflict of interest exists as a result of a financial relationship you have (or that your spouse/partner has), we will need to take appropriate steps to resolve the conflict of interest.

  • George Jaresko, PharmD reports having no financial relationships with any commercial interests during the past 12 months.
  • AMCP staff report no relevant financial relationships pertinent to this activity: Puneet Singh, PharmD and Ruby Singh, PharmD, BCPS.

Method and CPE Requirements:   

Participants should claim continuing pharmacy education (CPE) credit for this online activity, only if they have not claimed credit for the live activity presented at the AMCP Annual Meeting 2016. 

CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor.  Please allow 24-72 hours for processing and posting in your NABP account.

To receive CPE credit for an AMCP Learn online activity you must:

  • View the entire pre-recorded audio/slide presentation.
  • Successfully complete the post-test with a score of 70% or higher (The post-test may be taken up-to three times, and will provide feedback.)
  • Complete a specific online activity evaluation.

System Technical Requirements/Viewing Requirements: System Requirements Courses and learning activities are delivered via your Web browser and Acrobat PDF. For all activities you should have a basic comfort level using a computer and navigating the web site.  View the minimum technical and system requirements for online educational activities.


Credit Information

Activity Number Credit Amount Accreditation Period
ACPE UAN #0233-0000-16-004-H04-P 1.25 Contact Hours April 20, 2016 - April 20, 2019