Pharmacy Benefit Managers (PBMs) process prescription claims for health plans. PBMs are one of the seven parts of the prescription medication ecosystem. All the members include:
1. Plan Sponsor
2. Health Plan
3. PBM
4. Pharmaceutical Manufacturer
5. Drug Wholesaler
6. Pharmacy
7. Patient
The money flows from Plan Sponsor to Health Plan to PBM to Pharmacy to Drug Wholesaler to Pharmaceutical Manufacturer. The prescription medications flow from the Pharmaceutical Manufacturer to the Drug Wholesaler to the Pharmacy to the Patient.
Sources: https://ascopubs.org/doi/full/10.1200… https://www.optum.com/business/insigh… https://dfwbgh.org/wp-content/uploads… https://www.healthcarevaluehub.org/ad…
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