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Blue Shield of California is a mutual benefit corporation and health plan [ 6][ 7] founded in 1939 by the California Medical Association. It is based in Oakland, California, and serves 4.5 million health plan members and more than 65,000 physicians across the state. Blue Shield of California was founded as a not-for-profit organization.
Website. www .bcbs .com. Blue Cross Blue Shield Association, also known as BCBS, BCBSA, or The Blues, is a United States -based federation with 33 independent and locally-operated BCBSA companies that provide health insurance in the United States to more than 115 million people as of 2022. [ 2][ 3] It was formed in 1982 from the merger of its ...
340B Drug Pricing Program. The 340B Drug Pricing Program is a US federal government program created in 1992 that requires drug manufacturers to provide outpatient drugs to eligible health care organizations and covered entities at significantly reduced prices. The intent of the program is to allow covered entities to "stretch scarce federal ...
Substance abuse, especially of alcohol and prescription drugs, for adults 60 and over is a fast-growing health problem in the U.S.. According to the 2022 National Survey on Drug Use and Health ...
Specialty drugs or specialty pharmaceuticals are a recent designation of pharmaceuticals [ 1][ 2] classified as high-cost, [ 3][ 4][ 5] high complexity and/or high touch. [ 4] Specialty drugs are often biologics [ 3][ 6] —"drugs derived from living cells" [ 7] that are injectable or infused (although some are oral medications). [ 4]
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 ...
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. [ 1][ 2] PBMs operate inside of ...
Express Scripts. Express Scripts Holding Company is a pharmacy benefit management (PBM) organization. In 2017 it was the 22nd-largest company in the United States by total revenue as well as the largest pharmacy benefit management (PBM) organization in the United States. [ 2] Express Scripts had 2016 revenues of $100.752 billion. [ 2]