Pharmacy benefit management
Administration of prescription drug programs in the United States
📊 Rating
1 news mentions · 👍 0 likes · 👎 0 dislikes
📌 Topics
- Healthcare (1)
- Economy (1)
- Public Policy (1)
🏷️ Keywords
TrumpRx (1) · Prescription drugs (1) · Pharmaceutical pricing (1) · Healthcare reform (1) · Pharmacy Benefit Managers (1) · Market volatility (1) · Drug costs (1)
📖 Key Information
In the United States, a pharmacy benefit manager (PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans. PBMs operate inside of integrated healthcare systems (e.g., Kaiser Permanente or Veterans Health Administration), as part of retail pharmacies (e.g., CVS Pharmacy), and as part of insurance companies (e.g., UnitedHealth Group).
The role of pharmacy benefit managers includes managing formularies, maintaining a pharmacy network, setting up rebate payments to pharmacies, processing prescription drug claims, providing mail order services, and managing drug use.
📰 Related News (1)
-
🇺🇸 TrumpRx probably won’t fix our unnecessarily high drug prices
An L.A. Times reader recalls a time when his prescription went from $170 to $12 for seemingly no reason at all....
🔗 Entity Intersection Graph
People and organizations frequently mentioned alongside Pharmacy benefit management:
- 🌐 Prescription drug (1 shared articles)
- 🌐 Health care reform (1 shared articles)
- 🌐 TrumpRx (1 shared articles)