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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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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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Information on DFEC’s Pharmacy Benefits Management (PBM) Program In February 2021, the U.S. Department of Labor (DOL) began implementation of a new contract to provide Pharmacy Benefit Management (PBM) services to the Federal Employees’ Compensation Act (FECA) Program for all claims covered under FECA.
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.
Humana has its own in-house PBM called Humana Pharmacy Solutions. Copyright © 2021 Becker’s Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.