Under Managed Care Pharmacy Case Study

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The pharmacy benefit managers’ goal is to improve quality of care and safety, and ensure the lowest net cost for prescription drugs. The program helps its clients avoid unnecessary medical services that result from inappropriate drug use, noncompliance with therapy, or adverse drug reactions, as well as reducing the number of inappropriate filled prescriptions. Under managed care pharmacy benefit program, a “generic only” drug coverage will only cover the cost of generic drugs. Therefore, you will have to pay out-of-pocket when there is no generic for your brand-name drug. A tiered drug plan, which place drugs into different tiers, and drugs in each tier have a different cost. A drug that is classified in a lower tier would cost you less

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