Pharmacy Benefit Management Services definition

Pharmacy Benefit Management Services or "PBM Services" means services provided by a pharmacy benefits manager, such as formulary services, negotiation of rebates or discounts from pharmaceutical manufacturers, prescription claims processing, and drug utilization review.
Sample 1Sample 2
Pharmacy Benefit Management Services or “PBM Services” means those services provided 20 by Contractor in accordance with this Contract and any other documents or correspondence provided by 21 the BHS Program relating to Benefit Plan design, formulary changes, or any other changes to the BHS 22 Program and communicated to Contractor which impact how or which pharmaceuticals are provided.
Sample 1Sample 2
Pharmacy Benefit Management Services or “PBM Services” shall mean claims processing, eligibility verification, Participating Pharmacy contracting and management, Pharmaceutical Manufacturer contracting and administration, Financial Benefits management, reporting, formulary and clinical support, and other services as described herein. Unless otherwise agreed in writing, the PBM shall not provide Medicare Part D services under this Agreement.
Sample 1

Examples of Pharmacy Benefit Management Services in a sentence

  • The State is currently under contract with Express Scripts for Pharmacy Benefit Management Services.

  • Offerors should thoroughly describe, in the form of a narrative, its experience and success in providing and/or supporting Pharmacy Benefit Management Services.

  • Pharmacy Benefit Management Services will include pharmacy claims adjudication including Point of Service (POS) processing, pharmacy network management, drug formulary management, prior authorizations, refill exceptions and pharmacy discounts and rebates.

  • The Pharmacy Benefit Management Services Excel workbook responses must be submitted in its entirety in Excel format and cannot be submitted as a pdf.

  • Additional 2004-2005 funds carried back and spent for 2004 summer enrollment If you report in field 8 the maximum 10% carry-back amount, report any additional amount of your 2004-2005 FSEOG allocation that was carried back and spent for awards to students for payment periods that began on or after May 1, 2004, but ended prior to July 1, 2004.If this entry is different from the one in field 5 of your 2003-2004 FSEOG Report, you must also send us a revised 2003-2004 FSEOG Report.

  • This RFP is soliciting services for one (1) Pharmacy Benefit Manager to offer Pharmacy Benefit Management Services to the covered employees of the City of Jacksonville.

  • The Contractor shall provide Pharmacy Benefit Management Services to the Florida Department of Financial Services’ Division of Risk Management.

  • If you need new employees, these individuals are ideal because, following graduation, they can hit the ground running.5 STEP 1: IDENTIFYING YOUR BUSINESS NEEDS Answering the following questions will help you prepare to hire an intern.

  • Belanger Tess explained included in the packet was a copy of the Pharmacy Benefit Management Services Agreement effective January 1, 2012, which is the agreement currently in force.

  • VHP is seeking an organization to provide Pharmacy Benefit Management Services to the commercial HMO membership.


More Definitions of Pharmacy Benefit Management Services

Pharmacy Benefit Management Services means the negotiation of the
Sample 1

Related to Pharmacy Benefit Management Services

  • Pharmacy benefits management means the administration or management of prescription drug

  • Pharmacy benefits manager means a person that performs pharmacy benefits management.

  • Pharmacy benefit manager means a person, business or other

  • Supported employment services means provision of job training and supervision available to assist an individual who needs intensive ongoing support to choose, get, and keep a job in a community business setting. Supported employment is a service planned in partnership with public vocational assistance agencies and school districts and through Social Security Work Incentives when available.

  • Employment Services means services designed to assist Consumers with obtaining Employment. Services may include, but are not limited to, application completion, resume development, interview training, and providing access to job listings.

  • Pharmacy services means the practice of pharmacy as defined in chapter 18.64 RCW and includes any drugs or devices as defined in chapter 18.64 RCW.

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.

  • Inpatient services means services provided to you as an admitted inpatient in a recognised private or public hospital for treatment that is in an included clinical category, has a Medicare item number allocated and a Medicare benefit is payable.

  • Investment Management Services means any services which involve: (i) the management of an investment account or Fund (or portions thereof or a group of investment accounts or Funds); (ii) the giving of advice with respect to the investment and/or reinvestment of assets or funds (or any group of assets or funds); or (iii) otherwise acting as an “investment adviser” within the meaning of the Investment Advisers Act of 1940, as amended, including, without limitation, in each of the foregoing cases, performing activities related or incidental thereto.

  • Administration Services means the services required for the effective and efficient administration of Bonitas and includes, but are not necessarily limited to, member record management, contribution management, benefit option management, claims processing and management, management of members’ personal, claims and financial information and any other services that are required for the administration of Bonitas;

  • Outpatient services means those services rendered in a practitioner’s office or in the department of an approved facility where services are rendered to persons who have not had an overnight stay and are not charged for room and board.

  • Outplacement Services means professional outplacement services determined by the Employer to be suitable to the Executive’s position. The maximum amount that the Employer will pay for such services is set forth on the first page of the Agreement. The outplacement services shall be made available until the earlier of (i) such time as the aggregate cost to the Employer of the outplacement services reaches the maximum amount specified on the first page of the Agreement, and (iii) the date on which the Executive obtains another full-time job. The Employer will not pay the Executive cash in lieu of professional outplacement services.

  • Mental health services provider means an individual, licensed or unlicensed, who performs or purports to perform mental health services, including a:

  • Basic health plan services means that schedule of covered

  • Pharmacy care means medications prescribed by a licensed physician and any health-related services considered medically necessary to determine the need or effectiveness of the medications.

  • Case management services means planned referral, linkage, monitoring and support, and advocacy provided in partnership with a consumer to assist that consumer with self sufficiency and community tenure and take place in the individual’s home, in the community, or in the facility, in accordance with a service plan developed with and approved by the consumer and qualified staff.

  • Long-term care services means services provided through the department of social and health services either in a hospital or skilled nursing facility, or in another setting under a home and community-based waiver authorized under 42 U.S.C. Sec. 1396n.

  • Administrative Services means the provision to the Fund, by or at the expense of the Manager, of the following:

  • Primary care services means the services in respect of which NHS England has a duty or power to make arrangements pursuant to the Primary Care Functions;

  • Dental Services means diagnostic, preventive, or corrective

  • Payment Services means such Services as We provide in relation to payments into and out of Your Account.

  • Child care services means the range of activities and programs provided by a certificate holder to an enrolled child, including personal care, supervision, education, guidance, and transportation.

  • Home health care services means medical and nonmedical services, provided to ill, disabled or infirm persons in their residences. Such services may include homemaker services, assistance with activities of daily living and respite care services.

  • Child welfare services means social services including

  • Emergency medical services provider means a person who has received formal training in prehospital and emergency care, and is licensed to attend any person who is ill or injured or who has a disability. Police officers, firefighters, funeral home employees and other persons serving in a dual capacity one of which meets the definition of “emergency medical services provider” are “emergency medical services providers” within the meaning of this chapter.

  • Hospice services means palliative and supportive care and other services provided by an interdisciplinary team under the direction of an identifiable hospice administration to terminally ill hospice patients and their families to meet the physical, nutritional, emotional, social, spiritual, and special needs experienced during the final stages of illness, dying, and bereavement, as defined in Minnesota Statutes, § 144A.75, subd. 8, and includes the set of services as determined by the Medicare program under §1861(dd) of the Social Security Act and defined in 42 CFR § 418.3.