Directory · RX Pharmacy · Biologics / specialty

RX · Biologics / specialty · modeled

Adalimumab biosimilar (clinic dose)

Hospital buy vs billed (illustrative WAC/GPO/340B blend) Specialty pharmacy / 340B

What the hospital pays (acquisition)$980

Cash$1,800

Medicaid$1,200

Medicare$1,400

Insured$2,400

Medicaid

$1,200

Medicare

$1,400

Cash

$1,800

Insured

$2,400

Insured path is $600 (33%) above cash. Hospital buy $980 vs insured $2,400.

Payers: modeled — see evidence.