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BadgerCare Plus, known informally as BadgerCare, is a public healthcare coverage program for low-income Wisconsin residents created by former governor Tommy Thompson and modified by former governor Jim Doyle. The Wisconsin Department of Health Services oversees the program's implementation.
When used appropriately, formularies can help manage drug costs imposed on the insurance policy. [7] However, for drugs that are not on formulary, patients must pay a larger percentage of the cost of the drug, sometimes 100%. Formularies vary between drug plans and differ in the breadth of drugs covered and costs of co-pay and premiums.
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]
BadgerCare Plus caps premiums and co-pays in a given month at 5% of monthly household income, the report said. Medicaid expansion would shift some people off commercial plans onto BadgerCare Plus
The decision strikes down an existing federal rule that allowed insurance plans to implement copay accumulator adjustment programs. New copay ruling could impact millions of prescription drug ...
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A judge dismissed Pfizer Inc's challenge to a U.S. anti-kickback law that the drugmaker said prevents it from helping Medicare patients afford two drugs that treat a sometimes fatal heart ...
Name of the drug, medication, or vaccine, including combination drugs. The article title will be used if this is left blank. String: suggested: type: type: Drug type, can be left <blank> (for single chemical), "vaccine", "combo" (combination of drugs), and "mab" (monoclonal antibody) Example combo: String: suggested: IUPAC_name: IUPAC_name ...