pharmacy benefits

Prescription cost assistance

Pharmacy benefits are the prescription drug coverage provided by a health insurance plan.

This component of insurance determines which medications are covered, how much the patient pays out of pocket, and whether generic substitutes are required.

Pharmacy benefits are typically administered separately from medical benefits: Her pharmacy benefits cover the generic but not the brand-name version.

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insurance · medication · drugstore · mail-order · generic · brand-name · refill · claims · network · tier · out-of-pocket · cost sharing · donut hole · dispensing · premiums · coinsurance · eligibility · open enrollment

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