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  2. Formulary (pharmacy) - Wikipedia

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

    Today, the main function of a prescription formulary is to specify particular medications that are approved to be prescribed at a particular hospital, in a particular health system, or under a particular health insurance policy. The development of prescription formularies is based on evaluations of efficacy, safety, and cost-effectiveness of drugs.

  3. Insurance policy - Wikipedia

    en.wikipedia.org/wiki/Insurance_policy

    Subject to the "fortuity principle", the event must be uncertain. The uncertainty can be either as to when the event will happen (e.g. in a life insurance policy, the time of the insured's death is uncertain) or as to if it will happen at all (e.g. in a fire insurance policy, whether or not a fire will occur at all). [4]

  4. Health insurance - Wikipedia

    en.wikipedia.org/wiki/Health_insurance

    Prescription drug plans are a form of insurance offered through some health insurance plans. In the U.S., the patient usually pays a copayment and the prescription drug insurance part or all of the balance for drugs covered in the formulary of the plan. [5]: TS 2:21 Such plans are routinely part of national health insurance programs. For ...

  5. Insurance - Wikipedia

    en.wikipedia.org/wiki/Insurance

    9/11 was a major insurance loss, but there were disputes over the World Trade Center's insurance policy. Insurance policies can be complex and some policyholders may not understand all the fees and coverages included in a policy. As a result, people may buy policies on unfavorable terms.

  6. Medical prescription - Wikipedia

    en.wikipedia.org/wiki/Medical_prescription

    The prescription symbol, ℞, as printed on the blister pack of a prescription drug. A prescription, often abbreviated ℞ or Rx, is a formal communication from physicians or other registered healthcare professionals to a pharmacist, authorizing them to dispense a specific prescription drug for a specific patient.

  7. Health insurance in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_in_the...

    AD&D insurance is offered by group insurers and provides benefits in the event of accidental death. It also provides benefits for certain specified types of bodily injuries (e.g., loss of a limb or loss of sight) when they are the direct result of an accident. [25] Insurance companies have high administrative costs. [148] [149]

  8. Copayment - Wikipedia

    en.wikipedia.org/wiki/Copayment

    It may be defined in an insurance policy and paid by an insured person each time a medical service is accessed. It is technically a form of coinsurance, but is defined differently in health insurance where a coinsurance is a percentage payment after the deductible up to a certain limit. It must be paid before any policy benefit is payable by an ...

  9. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    According to insurance companies the reasons they require prior authorizations include age, medical necessity, checking for the availability of a cheaper generic alternative, or checking for drug interactions. [2] [3] There is controversy surrounding prior authorisations and public opinion does vary about why insurance providers require it. The ...