Buy and Bill Process Will Continue to Diminish in 2018!

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Buy and Bill refers to a provider purchasing the medication and then supplying the medication along with the service. Buy and Bill has been the primary method of distribution of specialty drugs, primarily IV oncology drugs, whereby oncology practices typically purchase these drugs from specialty distributors/group purchasing organizations (GPOs), which are then billed to payers under the medical benefit.

Payers make reimbursement decisions during traditional buy and bill that go to the physician’s office. In the traditional buy and bill process, relationships with the pharmaceutical manufacturer, drug wholesaler and GPO impact the price the product purchase at the amount that the product is billed.