PBM Fee Structure

Admin Fee per Member per Month ($)

Dispensing Fee per Claim ($)

AWP Discount Brand (%)

AWP Discount Generic (%)

Spread Pricing Markup (%)

Employer/Plan Details

Number of Members

Claims per Member per Year

Average Brand Drug Cost ($)

Average Generic Drug Cost ($)

Percentage Brand Claims (%)

Annual Admin Fees

Annual Drug Costs

Total Annual Cost

Detailed Cost Breakdown

Administrative Fees

Per Member Per Month Fees $0

Dispensing Fees $0

Drug Acquisition Costs

Brand Drug Claims 0

Brand Drug Cost $0

Generic Drug Claims 0

Generic Drug Cost $0

PBM Markups & Spread

Spread Pricing Revenue $0

Cost Per Member Per Year $0

How to Use Pharmacy Benefit Manager PBM Cost Calculator

Provide PBM fee structure including admin costs, dispensing fees, and AWP discounts. Input member count and prescription utilization patterns. The system computes total PBM expenses including spread pricing and administrative charges for accurate budget planning.

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