Pharmacy Benefits Manager related blogs on

What is a pharmacy benefits manager?

A pharmacy benefits manager (PBM) is a third-party administrator that manages prescription drug programs for health plans, employers, and government programs.

Clawbacks on Prescription Drugs

Clawbacks Cost You Money! – The Numbers Don’t Lie

If you’re one of the more than 250 million Americans who have health insurance and wonder if you’ve ever overpaid for your prescription drug because of what are called prescription clawbacks, chances are you have. Researchers at the University of Southern California (USC) Schaeffer Center for Health Policy & Economics found that insurance co-pays are…

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Rx Co-Pays on Prescription Medication

Co-pays and How They Work for Prescription Coverage

In 2019, approximately 4.38 billion retail prescriptions were filled in the United States. If you have prescription drug coverage through your health insurance plan, you’re responsible for your co-pays for the prescribed drugs, and your insurance carrier covers the rest. Right? The truth: the amount you pay for a prescription drug is far more complicated…

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Prescription Drugs

Prescription Drugs: I’ve got insurance. That’s enough, right?

Once upon a time, as long as you had health insurance, filling a prescription for medication was pretty straightforward and, really, no big deal. You simply presented your insurance card at a pharmacy of your choice, and no matter what prescription drugs you were getting, you paid one set price. That’s it—period. Prescription Co-pays Remember…

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