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  2. CareSource - Wikipedia

    en.wikipedia.org/wiki/CareSource

    CareSource is a nonprofit that began as a managed health care plan serving Medicaid members in Ohio. Today, it provides public health care programs including Medicaid, Medicare, and Marketplace. The company is headquartered in Dayton, Ohio. It is the largest Medicaid plan in Ohio and is second largest in the United States. [2] [3]

  3. Formulary (pharmacy) - Wikipedia

    en.wikipedia.org/wiki/Formulary_(pharmacy)

    A formulary is a list of pharmaceutical drugs, often decided upon by a group of people, for various reasons such as insurance coverage or use at a medical facility. [1] Traditionally, a formulary contained a collection of formulas for the compounding and testing of medication (a resource closer to what would be referred to as a pharmacopoeia ...

  4. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    Drugs which do not appear on the formulary at all mean consumers must pay the full list price. To get drugs listed on the formulary, manufacturers are usually required to pay the PBM a manufacturer's rebate, which lowers the net price of the drug, while keeping the list price the same. [20]

  5. Plans can change covered medications on their formulary during the year if they follow Medicare guidelines. All Medicare drug plans now offer $35-per-month copays for most insulin brands.

  6. Humana Awarded Contract to Manage Comprehensive Medicaid ...

    www.aol.com/2012/10/04/humana-awarded-contract...

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  7. Medicaid Drug Rebate Program - Wikipedia

    en.wikipedia.org/wiki/Medicaid_Drug_Rebate_Program

    The Medicaid Drug Rebate Program is a program in the United States that was created by the Omnibus Budget Reconciliation Act of 1990 (OBRA'90). The program establishes mandatory rebates that drug manufacturers must pay state Medicaid agencies related to the dispensing of outpatient prescription drugs covered by Medicaid.

  8. 340B Drug Pricing Program - Wikipedia

    en.wikipedia.org/wiki/340B_Drug_Pricing_Program

    The 340B Drug Pricing Program is a US federal government program created in 1992 that requires drug manufacturers to provide outpatient drugs to eligible health care organizations and covered entities at significantly reduced prices. The intent of the program is to allow covered entities to "stretch scarce federal resources as far as possible ...

  9. Category:Medicare and Medicaid (United States) - Wikipedia

    en.wikipedia.org/wiki/Category:Medicare_and...

    Medicare and Medicaid Extenders Act of 2010; Medicare for All Act; Medicare Fraud Strike Force; Medicare Payment Advisory Commission; Medicare Physician Group Practice Demonstration; Medicare Prescription Drug Price Negotiation Act; Medicare Prescription Drug, Improvement, and Modernization Act; Medicare Prompt Pay Correction Act; Medicare ...