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How PBMs Help Coordinate Your Health Care

Pharmacy benefit managers, PBMs, are working with pharmacies to deliver prescription drugs to patients safely and seamlessly at the pharmacy counter.
PBMs also help patients stay on their prescription
drugs to improve health outcomes.

The Patient Journey

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You make an appointment with your doctor. Before your appointment, your doctor checks your insurance and the information they have from your PBM to find out what prescription drugs you’re already taking.

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During your appointment, your doctor prescribes a medication. Using an app provided by your PBM, they see the drugs covered by your insurance and tell you what your out-of-pocket cost should be.

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During your appointment, your doctor prescribes a medication. Using an app provided by your PBM, they see the drugs covered by your insurance and tell you what your out-of-pocket cost should be.

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Your doctor sends the prescription to your preferred pharmacy. When the prescription is processed by your pharmacist, it’s instantly received by your PBM, which confirms that your prescribed drug is covered by your plan and how much it will cost you.

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Your health and safety are the top priority. Your PBM uses real-time technology and information from your health care team to coordinate with your pharmacist and review your past and present medication history.

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Your health and safety are the top priority. Your PBM uses real-time technology and information from your health care team to coordinate with your pharmacist and review your past and present medication history.

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Once your PBM seamlessly confirms there will be no harmful drug interactions, your pharmacist will send or give you your drug.

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Whether you’re using a wearable device, an app on your phone, or getting information via email, your PBM provides technology — through digital monitoring, alerts, medication tracking and more — to help you follow your prescribed regimen. PBMs help patients stay healthy.

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Whether you’re using a wearable device, an app on your phone, or getting information via email, your PBM provides technology — through digital monitoring, alerts, medication tracking and more — to help you follow your prescribed regimen. PBMs help patients stay healthy.

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Pharmacy benefit managers (PBMs) are your advocates in the health care system, working to lower out-of-control prescription drug costs for patients across the country.

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