Pharmacy benefit management definition
Pharmacy benefit management or “PBM,” means the administration of prescription drug programs, including developing and maintaining a list of medications that are approved to be prescribed, contracting with pharmacies, negotiating discounts and rebates with drug manufacturers and processing prescription drug claim payments;
Pharmacy benefit management means any of the following:
Pharmacy benefit management means an arrangement for the
Examples of Pharmacy benefit management in a sentence
The Contractor shall promptly respond to all inquiries from the Board concerning any aspect of the Pharmacy benefit management program.
Administrative expense summary Sub-capitated provider arrangement details and payment summary Summary enrollment data Pharmacy benefit management Claim Lag Triangle Value-added Benefits, or Benefits limit extension Non-Lag Experience In-lieu of services Considerations for reviewing BH Data Third-party liability cost avoidance and recovery information BH enhancement funding payments Finance statement information • Due no later than May 22 of each calendar year.
More Definitions of Pharmacy benefit management
Pharmacy benefit management means an arrangement for the procurement of prescription drugs at a negotiated rate for dispensation within this State to beneficiaries, the administration or management of prescription drug benefits provided by a health benefit plan for the benefit of beneficiaries, or any of the following services provided with regard to the administration of pharmacy benefits:
Pharmacy benefit management means the procurement of
Pharmacy benefit management means pharmacy benefit management and administration, including (as the same relate to pharmacy benefit administration services) claims processing adjudication, plan implementation, consulting services, pharmacy network management, mail service pharmacy, eligibility management, customer services, data reporting, drug utilization, formulary management and contracting (evaluating formulary status, negotiation of contracts with manufactures, procurement, disbursements of rebates, and utilization management), enforcement of therapy guidelines and drug principles, communication with physicians, pharmacists and patients regarding therapy guidelines and drug principles, management of payments and associated financial transactions, and account administration.
Pharmacy benefit management means the business of (i) contracting with pharmacies or pharmacists to provide pharmaceutical products and/or services to sponsors of pharmacy benefit plans or individuals covered by pharmacy benefit plans; (ii) managing a network of pharmacies or pharmacists, (iii) processing the claims for such services, and (iv) providing appropriate consulting services to managers of pharmacy benefit plans and their clients; provided that, except for claims processing, such services shall not include services which Acquirer did not provide for clients as of June 1, 2000. Notwithstanding the foregoing, nothing contained in this Section 6.07 shall prohibit any Management Shareholder or his, her or its Affiliates from (i) owning not more than an aggregate of one percent (1%) of any class of stock of any company which is listed on a national securities exchange or traded in the over-the-counter market and (ii) in the case of Management Shareholders who are attorneys, practicing law in the ordinary course of such Management Shareholder's business.
Pharmacy benefit management means an arrangement for
Pharmacy benefit management or “PBM,” means the administration of prescription drug programs, including developing and
Pharmacy benefit management means the services provided to a self-insured employer or insurance carrier, directly or through another entity, including: