MedSpan Musings — Tips for better payer market research

MedSpan Musings — Tips for better payer market research  

The benefit covering a drug is not always obvious

When discussing benefit coverage of drugs with payers, remember that some health plans at first cover drugs under the medical benefit and then transfer those costs each month to the pharmacy benefit. Be sure to probe for this approach and its implications for drugs administered in physicians’ offices and alternate sites of care.

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Managed Care Musings-Tips for better payer research

Managed Care Musings-Tips for better payer research