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WHO Model Formulary 2008. World Health Organization. hdl: 10665/44053. ISBN 978-92-4-154765-9. The selection and use of essential medicines. Twentieth report of the WHO Expert Committee 2015 (including 19th WHO Model List of Essential Medicines and 5th WHO Model List of Essential Medicines for Children). Geneva: World Health Organization. 2015.
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 ...
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.
Which prescription drugs are covered by the Medicare cap? The $2,000 cap includes all the prescriptions that are in a Medicare recipient's Plan D formulary, or a plan's list of covered drugs.
UHC2030, formerly known as the International Health Partnership (IHP+), [1] is a global platform which brings together multiple stakeholders to take action to advance progress towards universal health coverage (UHC) by mobilizing political commitment, demanding and tracking accountability, and promoting collective action for health systems.
[28] [29] As of 2016, 85% of the population is covered by the compulsory Statutory Health Insurance (SHI) [30] (Gesetzliche Krankenversicherung or GKV), with the remainder covered by private insurance (Private Krankenversicherung or PKV). Germany's health care system was 77% government-funded and 23% privately funded as of 2004. [31]
An October 2021 New York Times report identified UnitedHealth in a list of Medicare insurers accused of over-billing. According to the Inspector General, a whistleblower came forward, so the U.S. government went after UnitedHealth for over-billing Medicare. Executives at UnitedHealth Group told workers to mine old medical records for more ...
Medicare covered 57 million people as of September 2016. [32] While on the other hand, Medicaid covered 68.4 million people as of July 2017, 74.3 million including the Children's Health Insurance Program (CHIP). [33] Medicare and Medicaid are managed at the Federal level by the Centers for Medicare and Medicaid Services (CMS).
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