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  2. Blue Cross Blue Shield Association - Wikipedia

    en.wikipedia.org/wiki/Blue_Cross_Blue_Shield...

    In 1982, Blue Shield merged with The Blue Cross Association to form the Blue Cross and Blue Shield Association (BCBS). [11] Prior to 1986, organizations administering BCBS were tax exempt under 501(c)(4) as social welfare plans. The Tax Reform Act of 1986 revoked the exemption, however, because the plans sold commercial-type insurance.

  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. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/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.

  5. Blue Cross and Blue Shield of Alabama - Wikipedia

    en.wikipedia.org/wiki/Blue_Cross_and_Blue_Shield...

    Blue Cross and Blue Shield of Alabama (BCBSAL) is a nonprofit health insurance company headquartered in Birmingham, Alabama. The company was founded in 1936, provides coverage to more than 3 million people and is a member of the Blue Cross and Blue Shield Association (BCBS). BCBSAL employs nearly 5,000 people, which includes almost 3,500 people ...

  6. Hawaii Medical Service Association - Wikipedia

    en.wikipedia.org/wiki/Hawaii_Medical_Service...

    The Hawaii Medical Service Association (HMSA) is a member of the Blue Cross Blue Shield Association, an association of independent medical insurance providers. A nonprofit, mutual benefit association founded in 1938, HMSA covers more than half of the state’s population.

  7. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual. [5]

  8. Blue Cross and Blue Shield of Kansas City - Wikipedia

    en.wikipedia.org/wiki/Blue_Cross_and_Blue_Shield...

    In 1982, the Kansas City Blue Cross and Blue Shield Plans merged, creating Blue Cross and Blue Shield of Kansas City. [ 6 ] In 2003, Kansas Insurance Commissioner Sandy Praeger denied a bid from Anthem (the fifth-largest US publicly traded health insurance company at the time) to purchase the company.

  9. British National Formulary - Wikipedia

    en.wikipedia.org/wiki/British_National_Formulary

    The fifth version in 1957 saw its name change to The British National Formulary. [ 4 ] [ 5 ] A new-look version, under the auspices of Owen Wade , was released in 1981. [ 2 ] [ 6 ] A study in Northern Ireland, looking at prescribing in 1965, reported that the BNF was likely able to serve the requirements of prescribers in general practice ...