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What services does the pharmacy benefit manager (PBM) provide?

April 26, 2017benefit manager pbm pharmacy Services

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What services does the pharmacy benefit manager (PBM) provide?

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The PBM’s major responsibilities for Indiana Medicaid include the clinical call center and prior authorization requests, rebate management, Preferred Drug List development and maintenance, retrospective Drug Utilization Review (retro-DUR) activities, OTC Drug Formulary maintenance and development, and support of activities related to the Drug Utilization Review Board and Therapeutics Committee.