Rebates are the dirty lit­tle secret of drug dis­pens­ing, and there are claims of how the providers pro­vid­ing a return of the “invest­ment” are sim­ply hik­ing prices to cov­er the cost of the rebate.  While the admin­is­tra­tion is hear­ing all this, and even heed­ing their cries, they have also tak­en the first step toward elim­i­nat­ing a “safe har­bor” pro­vi­sion that allows rebates to be paid to the Medicare Part D with­out vio­lat­ing fed­er­al anti kick­back laws.  So com­pa­nies can do it, but the gov­ern­ment can’t…so who knows who is pro­tect­ing whom?