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Benefits & InsuranceNov 5, 202611:35 (PT)

EPIC benefits president says pharmacy costs are central challenge for employer health plans

Key points

  • Adam Okun says pharmacy spending is now the dominant cost driver in employer health plans
  • He says pharmacy is approaching about 35% of total healthcare budgets for 2027 renewals among middle-market employers
  • He says PBMs capture profits through spread pricing, rebates and contract terms

Adam Okun, president of Employee Benefits Organization at EPIC Insurance Brokers & Consultants, says pharmacy spending is now the dominant cost driver in employer health plans. He says pharmacy is approaching about 35% of total healthcare budgets for 2027 renewals among middle-market employers his firm works with. He says PBMs capture profits through spread pricing, rebates and contract terms.

Original report: Human Resources Director ↗Edited with AI assistance. Facts are based on official sources and original reports. For information only; not legal, immigration or insurance advice.