PBMs Explained: Role in Drug Pricing & Healthcare System
Learn what Pharmacy Benefit Managers (PBMs) are and their role in the U.S. healthcare system. This guide explains how PBMs impact drug prices, rebates, and cost
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Articles tagged with “pbm”
Pharmacy vs. Medical Benefit Explained: GLP-1 Coverage
Learn the key differences between pharmacy vs. medical benefit and how this structure impacts insurance coverage for GLP-1 drugs for diabetes and obesity.
PBMs Explained: Self-Funded vs. Fully Insured Health Plans
Learn how PBMs work and compare self-funded vs. fully insured health plans. This guide explains financing models, ERISA, risk, and PBM impact on drug costs.