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The Vanguard Group does not pay rebates.
Drug makers already pay rebates on drugs dispensed to many Medicaid recipients.
If insurers do not meet the requirement in 2011, they will have to pay rebates to consumers in 2012.
Insurers that do not meet the standards next year will have to pay rebates to consumers, starting in 2012.
Drug companies would have to pay rebates to the government on drugs dispensed to low-income Medicare beneficiaries.
Drug makers routinely pay rebates to pharmacy benefit managers as a reward for increasing the use of their products.
Similar(29)
Insurers are eager to classify as many expenses as possible in these categories, so they can meet the new test and avoid paying rebates to policyholders.
Secretary Sebelius said the money could come from pharmaceutical companies, which sometimes provide discounts to favored customers by paying rebates on drugs.
R.B.C. executives recently asked American regulators to introduce a program that would ban exchanges from paying rebates to banks that send in customer orders.
Mr. Reagan said the bill contained desirable features, including a provision allowing retired Federal workers to be paid rebates in health insurance premiums by their insurance carriers.
If a pharmacy benefit manager -- say, Express Scripts -- agrees to put Synthroid on its formulary, then the drug's manufacturer, Abbott Laboratories, pays rebates to Express Scripts.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com