Typically Pharmacy Benefit Managers, or PBMs administer prescription benefit plans. PBM's job is to get discounted contracts with pharmacies and pharmaceutical companies, adjudicate claims from pharmacies, pay them for covered prescriptions and provide additional clinical & administrative support. Today, more than ever, prescription medicine represents a large portion of employer sponsored plan expenses, representing 15%-25% of the total…
Maximizing pharmacy benefits in self-funded plans
