PBM definition

PBM means the independent pharmacy benefit manager that contracts with BCBSAZ to administer the prescription medication benefits covered under this benefit plan.

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PBM means a pharmacy benefits manager.

PBM means a pharmacy benefit management company.

Examples of PBM in a sentence

You or your physician may file a written or verbal prescription drug appeal with our pharmacy benefits manager (PBM).
The CONTRACTOR shall ensure that any Pharmacy Benefit Manager (PBM) that is utilized to provide Pharmacy Services to its Members must adhere to any requirements as set forth in Article 21, Chapter 71, Title 38 of the S.C. Code – Pharmacy Benefits Managers Section 38-71-2230 (G).
Prescription benefits under the HDHP and the PPO “buy up” plan shall be provided through a prescription benefits manager (PBM), designated by the Board through a formulary established by the Board.
Order No. 22-164, if this Contract is for the provision of Pharmacy Benefit Manager Services (PBM), Provider’s PBM is prohibited from the use of spread pricing and financial claw backs.
To facilitate accurate measurement of the pharmacy component of the Medical Loss Ratio (MLR) the CONTRACTOR shall provide Claim-level pharmacy reimbursement detail, reflecting the amount paid by the Pharmacy Benefit Manager (PBM) to the pharmacy Provider, per Section 7 of this contract.

More Definitions of PBM

PBM means a pharmaceutical benefits manager which has entered into an agreement with an Originator to make payments as agent for various insurers and other Persons, on account of pharmaceutical goods sold by such Originator.

PBM means a pharmacy benefits manager as defined in T.C.A. § 56-7-3102.

PBM means a Pharmacy Benefits Manager. In the United States, a PBM is a third-party administrator of prescription drug programs for commercial health plans, self- insured employer plans, Medicare Part D plans (prescription drug plans), the Federal Employees Health Benefits Program, and state government employee plans.

PBM or “Pharmacy Benefit Manager” means any entity that negotiates Rebate agreements; creates or manages a Formulary; or otherwise deals with pharmaceutical manufacturers or sellers and serves as a third-party administrator of a Payor’s or Plan Sponsor’s Pharmacy Benefit Plan.

PBM. The term "PBM" shall mean a pharmacy benefits manager.

PBM means pharmacy benefit managers.

PBM means Pharmacy Benefits Manager or Pharmacy Benefits Management.