By attending this course, you'll learn about:

How to align Phase III data with contracting and payer needs
- PBM Value Proposition vs. BIM
How to develop balanced pricing models
- Access vs. Profitability
How to use analogs to establish channel mix expectations
- Retrospective vs. Prospective

Key Takeaways:

Align Clinical and Economic Value
- Translate clinical endpoints, safety/tolerability, and dosing convenience into payer-relevant value frameworks
- Understand how data from pivotal trials and health economics studies influences access outcomes
Define Pricing Strategy Guardrails
- Learn how to set initial list and net pricing that support both payer access and downstream contracting flexibility
- Understand the concept of pricing corridors and the use of floor/ceiling net targets to guide negotiation outcomes
Plan for Rebate Load and Net Exposure
- Forecast rebate implications by payer channel and contracting type (market share vs. access-based)
- Identify how formulary status, tiering, and benefit design affect net price realization
Integrate Copay Program Strategy
- Design copay programs that account for accumulator and maximizer programs, and integrate adjudication-level monitoring
- Understand how copay dynamics affect patient affordability and downstream net revenue erosion

CPE Credits: 2
Field of Study: Finance
Level of Knowledge: Basic
Advance Preparation: None
Prerequisites: None
Delivery Method: Group Internet Based

In accordance with the standards of the National Registry of CPE Sponsors, CPE credits will be granted based on a 50-minute hour

Course 3: Crafting Smart Pricing & Contracting StrategyThursday, 25 September 2025