Understanding the intricate relationships between various stakeholders is crucial for investors looking to make informed decisions. One area that often flies under the radar, yet plays a significant role in the pharmaceutical industry, is the realm of Pharmacy Benefit Managers (PBMs), formularies, and...
In general most Insurance companies will contract out to a PBM to offer members their prescription benefit. This is why if you look on your insurance card there is a separate number to call for prescription services. PBMs have contracts with pharmacies that enable them and their members to ...
What about Trip Insurance?Trip insurance provides coverage for trip cancellation, trip interruption, baggage loss or delay, medical and accidental death and dismemberment. Each area of trip insurance is discussed.
Claims processing.This is a valuable service. When you give your insurance card to a pharmacist, the pharmacy benefit manager reads the card and knows if a medication is covered. If it is, the pharmacy is immediately paid. This is a necessary service that is worthy of a small fee — one...