Government programs represent a significant portion of total gross sales and are projected to continue to grow rapidly. Pressure on gross-to-net sales is escalating due to government programs having the highest prescription drug rebates.

Course is designed to enhance knowledge of the Inflation Reduction Act and complex government programs including Medicare, Medicaid, TRICARE & 340B programs.

Numerical examples will be presented to illustrate key concepts and practical application.

By attending this course, you'll learn about:

• Medicare Part B buy & bill

• White, brown, and clear bagging

• Medicare Part D Prescription Drug Program

• Implications of Inflation Reduction Act Three Pillars (Medicare Price Negotiation, Inflation Rebates & Benefit Redesign)

• Considerations for estimating Medicare Part D Donut Hole

• Medicaid Drug Rebate Program

• Implications of price increases on Medicaid Net Price and GTN

• Triggering Medicaid best price penalty

• Medicaid AMP-Cap removal

• Charitable foundations

• Prescriptions with negative net sales

• Branded prescription drug fee

• Authorized generics

• TRICARE

• 340B – ecosystem, double-dipping and current developments

*Additional fee to participate

CPE Credits Available: 2.0

This in-depth panel is ideal for anyone with responsibilities around gross-to-net and for companies that are pre-revenue or early-stage revenue.

CPE Credits Available: 1.2

10 Hot Topic Tables:

1. Returns: Successful Vendors, Analogs and Methodologies

2. Government Impacts on GTN: IRA Part D/B Rebates, MFP & AMP Cap Removal

3. Coverage Gap Redesign: Successful Predictive Modeling

4. GTN Monthly Close: Successful Practices & Methodologies.

5. All Things 340B: Analyzing Revenue Leakage & Tackling Contract Pharmacies

6. Wrangling GTN Data Sources: 3PL, Copay Vendor, ERP, Adjudication Application.

7. Patient & Access Program Impacts on GTN: Copay, Bridge, Voucher, Digital Pharmacies

8. Payer Pressures on GTN: Understanding Shifts in Rebates, Admin Fees & Price Protection Protection

9. Demand & Inventory Mgt: Reconciling Pipeline against Sales and Demand

10. Product Launch: Successful GTN Roadmap to Launch.

Facilitated by Jen Sharpe and the Revenue Analytics Collaborative, sponsored by IntegriChain

CPE Credits Available: 1.8