Managed prescription drug plan
Term · Insurance and risk management · MLC-T-INS-003687
A health insurance benefit that provides coverage for prescription medications through a structured network of pharmacies and a defined list of covered drugs. These plans use cost-containment mechanisms such as formularies, tiered copayments, prior authorization requirements, and mail-order pharmacy options. Formularies are lists of approved drugs, often categorized into tiers that correspond to different levels of patient cost-sharing.
| Identifier | MLC-T-INS-003687 |
|---|---|
| Field | Insurance and risk management |
Record as JSON
{
"id": "MLC-T-INS-003687",
"term": "Managed prescription drug plan",
"field": "Insurance and risk management",
"definition": "A health insurance benefit that provides coverage for prescription medications through a structured network of pharmacies and a defined list of covered drugs. These plans use cost-containment mechanisms such as formularies, tiered copayments, prior authorization requirements, and mail-order pharmacy options. Formularies are lists of approved drugs, often categorized into tiers that correspond to different levels of patient cost-sharing.",
"url": "https://mlchart.com/terminology/insurance/managed-prescription-drug-plan/"
}
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