GTN Waterfall Modeler

Medicaid Best Price Cascade Engine

Modeling: Sample Drug

Model Inputs

Edit any field to recalculate live

Drug Search

Pull real pricing and volume data from CMS

Pricing

$
Wholesale Acquisition Cost
%
Average Manufacturer Price
$

Commercial Deal

%

Volume (units)

BEST PRICE CASCADE TRIGGERED

Your commercial rebate decision has reset the statutory Medicaid Best Price. Incremental exposure: $800,000

Commercial Net Price
$650.00
Old Medicaid Rebate / Unit
$220.00
New Medicaid Rebate / Unit
$300.00
Incremental Medicaid Exposure
$800,000

Revenue by Channel

ChannelVolumeNet Price / UnitNet Revenue
Commercial50,000$650.00$32,500,000
Medicaid10,000$700.00$7,000,000
340B5,000$650.00$3,250,000
TOTAL65,000—$42,750,000
Total Gross Revenue at WAC$65,000,000
Total Net Revenue$42,750,000
GTN Spread34.2%

Save & Compare Scenarios

WAC $1,000.00Rebate 35%Net $650.00Cascade triggered

GTN Waterfall — Gross to Net Revenue Bridge

All values in total dollars across channel volumes

Revenue (Gross / Net)
Rebates & Discounts