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Competing health plans would have access to others’ pricing information and MAC reimbursement calculations, allowing both the potential opportunity to price fix. If MAC price information is publicly disclosed, it would have an anti‐competitive effect on health plans, employers, and other payers. MAC pricing policies must balance the need for confidentiality with the pharmacies’ need for predictable reimbursement. Payers and pharmacy benefit managers (PBMs) operate in a highly competitive environment therefore, it is essential to ensure that their contracted pharmacies are encouraged to purchase less costly generics available in the market. In general, market competition reflected in MAC pricing supports payers’ goals of keeping drug costs down for consumers and payers and not overpaying for generic drugs. Drugs that have been generic longer are more likely to have greater competition and, therefore, lower pharmacy‐purchasing prices. MAC prices are driven by factors inherent in marketplace competition, including how long the drug has been generic, how many manufacturers are making generic versions, how widely available the generic drug is accessible for purchase, and whether there have been problems in manufacturing (such as access to basic ingredients or product recalls). MAC pricing plays an important role in keeping economic incentives aligned for both payers and pharmacies. Alternatively, if they purchase generic drugs at a more favorable price, they are more likely to make a profit. If a pharmacy purchases the higher‐priced product, it may not make as much profit or, in limited instances, may lose money on that specific purchase. MAC pricing is designed to promote competitive pricing for pharmacies as an incentive for them to purchase less costly generic drugs available in the market, regardless of the manufacturer’s list price, since manufacturers will charge different amounts for equally interchangeable generic drugs. AMCP supports the use of MAC pricing as a managed care tool to encourage the dispensing of cost-saving generic drugs and thereby benefiting the overall health care system. MAC price reimbursement is an effective pricing tool because MAC prices are updated frequently to keep pace with market changes in the purchase prices of generic drugs available to pharmacies. The model ensures that those purchasing health insurance benefits, including consumers, do not overpay for generic drugs. Maximum Allowable Cost (MAC) pricing is a payment model contractually agreed to in the marketplace by all participants.
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Drug Product Pipeline Portal (Member View).Drug Product Pipeline Portal (Limited View).Medication Use Quality Continuing Education Program.Webinar: What is Managed Care Pharmacy?.Managed Care Pharmacy PowerPoint Presentations.Mac Tools may also be known as or be related to Mac Tools. The data presented on this page does not represent the view of Mac Tools and its employees or that of Zippia. None of the information on this page has been provided or approved by Mac Tools. While we have made attempts to ensure that the information displayed are correct, Zippia is not responsible for any errors or omissions or for the results obtained from the use of this information. Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies.
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The employee data is based on information from people who have self-reported their past or current employments at Mac Tools. Zippia gives an in-depth look into the details of Mac Tools, including salaries, political affiliations, employee data, and more, in order to inform job seekers about Mac Tools.
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