Pharmacy Benefit Managers definition

Pharmacy Benefit Managers means pharmacy benefit managers and comparable entities such as third-party administrators and administrative service organizations that contract with Third-Party Payors to perform administrative and/or management services in connection with the Third-Party Payors’ purchases of prescription drugs.

Pharmacy Benefit Managers means the person or agency that manages Plaintiff’s pharmacy network management, drug utilization review, and disease management programs for Plaintiff or on Plaintiff’s behalf.

Examples of Pharmacy Benefit Managers in a sentence

• Pharmacy Benefit Managers have agreements with pharmaceutical manufacturers to receive rebates for using their products.

• To the extent that Pharmacy Benefit Managers and claims processors are required by contract or otherwise to process claims on behalf of TRICARE, they will need to be able to receive the Medicaid Pharmacy Subrogation Transaction in the standard format.

• Pharmacy Benefit Managers are primarily responsible for processing and paying prescription drug claims.

• Pharmacy Benefit Managers are used to develop, allocate, and control costs related to the pharmacy claims program.

• These agreements are sometimes arranged by middlemen known as Pharmacy Benefit Managers (“PBMs”).

• To the extent that Pharmacy Benefit Managers and claims processors are required by contract or otherwise to process claims on behalf of TRICARE, they shall be able to receive the Medicaid Pharmacy Subrogation Transaction in the standard format.

• The Contractor shall take all steps necessary to participate in, and support FSSA’s participation in, federal and supplemental drug rebate programs by terminating, and not entering into, rebate agreements with its Pharmacy Benefit Managers (PBMs) or with manufacturers for any drugs.

• See In re Pharmacy Benefit Managers Antitrust Litig., 582 F.3d 432, 434 n.1, 437 (3d Cir.

• Pharmacy Benefit Managers (PBMs): Generating Savings for Plan Sponsors and Consumers.

• The review period may be extended for 15 days due to matters beyond the Pharmacy Benefit Manager's control if the Pharmacy Benefit Manager notifies you of the extension before the end of the first 30-day period, the circumstances requiring the extension and the date by which the Pharmacy Benefit Manager expects to make a decision.