Pharmacy benefits managers definition

Pharmacy benefits managers means a corporation, business, or
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Pharmacy benefits managers means a corporation, business, or other entity, or unit within a corporation, business, or other entity, that administers prescription drug benefits on behalf of a payer.
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Examples of Pharmacy benefits managers in a sentence

  • Pharmacy benefits managers shall maintain for five years the records necessary to demonstrate to the commissioner compliance with this chapter.

  • Pharmacy benefits managers shall provide the commissioner easy accessibility to records for examination, audit and inspection to verify compliance with this chapter.ITEM 15.

  • Pharmacy benefits managers shall provide the commissioner easy accessibility to records for examination, audit and inspection to verify compliance with this chapter.59.10(3) Disclosure of payments received by the pharmacy benefits manager.

  • Pharmacy benefits managers - Prohibition on discrimination - Penalty.

  • Pharmacy benefits managers shall cooperate with the commissioner and comply with the commissioner’s requests to aid with the commissioner’s administration of Iowa Code chapters 507, 507B, 510, and 510B and this chapter, including cooperation and compliance with the commissioner in conducting examinations of pharmacy benefits managers pursuant to Iowa Code chapter 507, and cooperation with the commissioner in conducting investigations pursuant to Iowa Code chapter 507B.59.10(2) Maintenance of records.

  • Pharmacy benefits managers are engaged to stand in the stead of insurers and other entities to administer and manage prescription drug benefits provided under the health insurance plans issued by the insurers and other entities.

  • Maximum allowable cost lists for pharmaceuticals - Pharmacy benefits managers - Penalty.

  • Pharmacy benefits managers shall cooperate with the commissioner for and comply with the commissioner’s requests to aid with the commissioner’s administration of Iowa Code chapters 507, 507B, 510, and 510B and this chapter, including cooperation and compliance with the commissioner in conducting examinations of pharmacy benefits managers pursuant to Iowa Code chapter 507, and cooperation with the commissioner in conducting investigations pursuant to Iowa Code chapter 507B.59.10(2) Maintenance of records.

  • Pharmacy benefits managers that process and pay claims on the basis of claims processed or paid for each plan sponsor.

  • Pharmacy benefits managers shall provide the commissioner easy accessibility to records for examination, audit and inspection to verify compliance with this chapter.ITEM 12.

Related to Pharmacy benefits managers

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

  • Pharmacy benefit manager means a person, business or other

  • Medical Benefits Schedule means the Medicare Schedule of Benefits produced by the Department of Health to which all fees and benefits relate for inpatient hospital services.

  • Gap medical benefits means the benefits (if any) payable in respect of medical expenses that are less than, greater than or equal to the schedule fee, provided always that the medical expenses relate to a professional service that:

  • Health benefits plan means a benefits plan which pays or

  • Managing Employee means a general manager, business manager, administrator, director, or other individual who exercises operational or managerial control over, or who directly or indirectly conducts the day-to-day operation of an institution, organization, or agency.

  • Retirement Committee means a committee consisting of the Company’s Vice President of Human Resources, the Director of HR Operations and the Compensation & Benefits Manager.

  • Compensation and Benefits Programs means all compensation and benefit plans, policies, and programs of the Debtors, and all amendments and modifications thereto, applicable to the Debtors’ employees, former employees, retirees, and non-employee directors and the employees, former employees and retirees of their subsidiaries, including all savings plans, retirement plans, health care plans, disability plans, and incentive plans, deferred compensation plans, and life, accidental death, and dismemberment insurance plans.

  • Disability benefit recipient means a member who is receiving a disability benefit.

  • Designated Employees means a person occupying any of the following position in the Company:

  • Basic health plan services means that schedule of covered

  • Retiree means any person who has begun accruing a retirement

  • Societal benefits charge means a charge imposed by an electric

  • Additional gap medical benefits means the benefits (if any) payable in respect of medical expenses that are more than the schedule fee and which otherwise meet the requirements of the fund’s no or known gap policy, provided always that the medical expenses relate to a professional service that:

  • Health Benefits means health maintenance organization, insured or self-funded medical, dental, vision, prescription drug and behavioral health benefits.

  • Claim for Benefits means a request for a Plan benefit or benefits made by a Member in accordance with the Plan’s Appeals Procedures, including any Pre-Service Claims (requests for Prior Authorization) and Post-Service Claims (requests for benefit payment).

  • Specialist medical practitioner means a specialist as defined in section 3 of the Health Insurance Act 1973.

  • Medical personnel means those persons assigned, by a Party to the conflict, exclusively to the medical purposes enumerated under subparagraph (e) or to the administration of medical units or to the operation or administration of medical transports. Such assignments may be either permanent or temporary. The term includes: