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Commonwealth of Kentucky RFP 758 2000000202 Medicaid Managed Care Organization (MCO) All Regions.21. Pharmacy Benefits a. Describe the Contractors proposed approach to administration of pharmacy benefits
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C21 pharmacy benefits refer to the comprehensive prescription drug coverage provided under certain health plans, typically focusing on the coordination of pharmaceutical care and cost management for beneficiaries.
Entities such as health insurance providers, pharmacy benefit managers, and employers offering health plans that include pharmacy benefits are typically required to file c21 pharmacy benefits.
To fill out c21 pharmacy benefits, one must gather required information about the pharmacy plan, beneficiaries, and costs, then complete the designated forms with this information.
The purpose of c21 pharmacy benefits is to ensure that beneficiaries have access to necessary medications while managing the costs and coverage provided under their health plan.
Information that must be reported may include details about the pharmacy plan, beneficiary identifiers, cost-sharing information, and any special programs related to medication management.
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