Self Fund Health Knowledge Base
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Pharmacy & PBM

How prescriptions are managed, including coverage, rebates, and formularies

  • What Makes CapitalRx Different from Traditional PBMs?
  • Which Tier Will a Drug Fall Into?
  • Can We Use Our Own Pharmacy Benefit Manager (PBM)?
  • What Does Self Fund Health Do Related to J-Code Infusions?
  • How Do Rebates Work and Who Receives Them?
  • Does CapitalRx Have a Program for Orphan Drugs?
  • Why Are Drugs So Much Cheaper From Canada?
  • Who Runs the Drug Programs Related to Rx Carveouts?
  • Can I Estimate the Costs for a Drug?
  • Will my clients still be able to use the pharmacies they know (CVS, Walgreens, Walmart, independents)?

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