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If you are a patient, physician, pharmacy or are looking for a PBM solution, please fill out the form at the bottom of the page. Current clients, please contact us by phone, fax or email. 855.728.7706
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Updated: 7 hours ago
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Free and open company data on Puerto Rico company OPTUMRX PBM OF PUERTO RICO, LLC (company number 393949-1512), 361 San Francisco St. 4th Floor San Juan, PR 00901
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Updated: 6 hours ago
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Updated: 2 hours ago
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Managed Care Plan Contact Information Pharmacy Benefit Manager(PBM) or Billing Agent PBM/Billing Agent Contact Information Processor Control Number BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331: ADV 004336: Group: RX4212. Amida Care (877) 354-3439; Express ...
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Updated: 1 hours ago
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PBM contracts typically include financial guarantees for discounts off the average wholesale price (AWP), dispensing fees, administration fees, and rebates. All of these pricing components impact the pharmacy costs and trends.
PBM contracts often include a considerable number of definitions and terms that explain how drug claims are adjudicated and priced. Small wording nuances in these definitions can favor the PBM’s ability to meet their pricing or performance guarantees during year-end reconciliation.
Pharmacy benefits managers, or PBMs, help negotiate lower prices for prescription drugs for health insurance plans. Anthem said its PBM IngenioRx would work with customers on Anthem plans as well as those who aren’t on Anthem plans. Anthem was up as much as 5% on Wednesday morning after the announcement.
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