Common use of Pharmacy Benefits Administrator Clause in Contracts

Pharmacy Benefits Administrator. An entity contracted to or included in a health plan accepting pharmacy prescription claims for enrollees in the plan, assuring these claims conform to coverage policy and determining the allowed payment.

Pharmacy Benefits Administrator. An entity contracted to or included in a health plan accepting Managed Care Plan that accepts pharmacy prescription claims for enrollees in the plan, assuring Managed Care Plan; assures these claims conform to coverage policy policy; and determining determines the allowed payment.

Pharmacy Benefits Administrator. An entity contracted to or included in a health managed care plan accepting that accepts pharmacy prescription claims for enrollees in the managed care plan, assuring ; assures these claims conform to coverage policy policy; and determining determines the allowed payment.

Pharmacy Benefits Administrator. An entity contracted to or included in a health plan Health Plan accepting pharmacy prescription claims for enrollees in the planHealth Plan, assuring these claims conform to coverage policy and determining the allowed payment.