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  2. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    As of 2022, Caremark Rx, Express Scripts, OptumRx, Humana, Prime Therapeutics, and MedImpact Healthcare Systems were the six largest public PBMs that control 95% of the market, while the top three controlled 80% of the market. [41] As of 2024, the top 3 controlled a market of almost $600 billion. [6]

  3. Formulary (pharmacy) - Wikipedia

    en.wikipedia.org/wiki/Formulary_(pharmacy)

    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 ...

  4. Pharmacies in the United States - Wikipedia

    en.wikipedia.org/wiki/Pharmacies_in_the_United...

    The primary role of pharmacies in the US is to safely and accurately fill prescriptions ordered by healthcare providers for patients. The pharmacy may receive a prescription in many ways, including a hardcopy, verbally over the phone, or electronically from the provider's electronic medical record system (EMR) is linked to the pharmacy. [5]

  5. Specialty drugs in the United States - Wikipedia

    en.wikipedia.org/wiki/Specialty_drugs_in_the...

    The top ten specialty pharmacies in 2014 were CVS Specialty parent company CVS Health with $20.5B in sales, Express Scripts's Accredo at $15B, Walgreens Boots Alliance's Walgreens Specialty at $8.5B, UnitedHealth Group's OptumRx at $2.4B, Diplomat Pharmacy at $2.1B, Catamaran's BriovaRx at $2.0B, Specialty Prime Therapeutics's Prime ...

  6. Humana - Wikipedia

    en.wikipedia.org/wiki/Humana

    Humana pulled out of the acquisition after United stock dropped $2.9 billion in value. [9] In 2001, Humana was a cofounder of Avality. [10] In 2005, Humana entered into a business partnership with Virgin Group, offering financial incentives to members for healthy behavior, such as regular exercise. [11]

  7. Medicare Part D - Wikipedia

    en.wikipedia.org/wiki/Medicare_Part_D

    Plans can change the drugs on their formulary during the course of the year with 60 days' notice to affected parties. The primary differences between the formularies of different Part D plans relate to the coverage of brand-name drugs. Typically, each Plan's formulary is organized into tiers, and each tier is associated with a set co-pay amount.

  8. Explainer-Why are US pharmacy benefit managers under fire? - AOL

    www.aol.com/news/explainer-why-us-pharmacy...

    April 16, 2024 at 10:07 AM. By Ahmed Aboulenein. ... The other noteworthy companies by market share are Humana Pharmacy Solutions at 8%, Prime Therapeutics at 5%, and MedImpact Healthcare Systems ...

  9. Talk:Formulary (pharmacy) - Wikipedia

    en.wikipedia.org/wiki/Talk:Formulary_(pharmacy)

    This is the talk page for discussing improvements to the Formulary (pharmacy) article. ... This page was last edited on 14 February 2024, at 11:14 (UTC).

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