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US$ 226.6 billion (2023) [1] Parent. UnitedHealth Group. Website. www.optum.com /en /. Optum, Inc. is an American healthcare company that provides technology services, pharmacy care services (including a pharmacy benefit manager) and various direct healthcare services. Optum was formed as a subsidiary of UnitedHealth Group in 2011 by merging ...
Medical device (such as hearing aids, for example) may be specified by a type of prescription. Off-label use – Use of pharmaceuticals for conditions different from that for which they were approved. Prescription analytics. Prescription charges – Charges for medical prescriptions on the UK NHS, and in Ireland.
Electronic prescribing. Electronic prescription (e-prescribing or e-Rx) is the computer-based electronic generation, transmission, and filling of a medical prescription, taking the place of paper and faxed prescriptions. E-prescribing allows a physician, physician assistant, pharmacist, or nurse practitioner to use digital prescription software ...
Prior authorization is a check run by some insurance companies or third-party payers in the United States before they will agree to cover certain prescribed medications or medical procedures. [1] There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a generic ...
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Pharmacy benefit management. In the United States, a pharmacy benefit manager (PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans. [ 1 ][ 2 ] PBMs operate inside of ...
The Federal Trade Commission alleges CVS Health’s Caremark Rx, Cigna’s Express Scripts and United Health Group’s OptumRx created a system that prioritizes high rebates from drug ...
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