PBMs often negotiate what kind of fees as part of their contracts with drug manufacturers?

Pharmacy Benefit Managers (PBMs) play a significant role in negotiating various types of fees with drug manufacturers to help manage prescription drug costs. When examining the types of fees PBMs negotiate, each category mentioned in the options is relevant and important for different aspects of drug pricing and access.

Access fees are negotiated to ensure that a PBM can provide its members with access to certain medications, ensuring a comprehensive formulary. These fees can be crucial in establishing relationships between PBMs and drug manufacturers and can influence which medications are made available to patients.

Incentive fees are structured to encourage manufacturers to support specific formulary placement or utilization goals. These can be based on utilization metrics or performance outcomes, where both parties benefit when a drug achieves certain goals, such as improved patient adherence or reduced overall healthcare costs.

Rebate management fees pertain to the rebates that manufacturers provide to PBMs in exchange for favorable placement of their drugs in a PBM's formulary. Managing these rebates is integral to maintaining lower costs for both the PBM and its members, while also ensuring that the PBM receives compensation for their role in negotiating these savings.

Considering the complexity and financial arrangements involved, PBMs often negotiate all of these fees. Ultimately, "All of the above