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Question

What is a PBM?

Answer

PBM stands for pharmacy benefit manager. A PBM is a company that manages the prescription drug (pharmacy) component of an employer's or other sponsor's healthcare benefits. (These benefits often include medical, dental, and vision benefits along with pharmacy benefits.)

PBMs manage the pharmacy benefit for a client by controlling the administrative costs of processing prescription drug insurance claims and using clinical programs to ensure the right medications are prescribed for the right conditions. Clinical programs - including care management programs - help the PBMs' clients provide appropriate and preventive healthcare to the people covered under their pharmacy benefit. (Care management programs are targeted to persons living with certain health conditions - such as diabetes, high cholesterol, and heart disease.)

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Answers to questions regarding information about medications or health conditions are not for diagnostic or treatment purposes and are not conclusive as to the presence or absence of any health condition. Consult your physician for diagnosis and treatment of your medical condition. The information provided is not a substitute for medical advice. Advances in medicine may cause this information to become outdated, invalid or subject to debate. Professional opinions and interpretations of the scientific literature may vary. Walgreens' terms of use and general warranty disclaimer apply to all services provided. If you are in need of immediate medical attention, contact your physician, poison control center or emergency medical professional. If you need to speak with a pharmacist for non-emergency matters, contact your local Walgreens pharmacist or call a Walgreens.com pharmacist toll-free at 1 (877) 250-5823.

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