Across
- 3. 11-digit number that identifies the labeler, product, and trade package size.
- 5. Prescription drug benefit available to everyone with Medicare.
- 8. a flat rate.
- 9. Number that tells the pharmacy database which PBM is to receive the claim for a particular prescription.
- 11. Organization that provides administrative services in processing and analyzing prescription claims for pharmacy benefit and coverage programs.
- 12. Directions of the prescription.
- 13. Federal law that outlines requirements that employer-sponsored group insurance plans, insurance companies, and managed care organizations must satisfy in order to provide health insurance coverage in the individual and group healthcare markets.
- 14. trying other medications first before “stepping up” to drugs that cost more.
- 15. Amount patient must pay before the prescription drug plan or other insurance begins to pay.
Down
- 1. Amount patient may be required to pay as a means to share the cost of services. It is a percentage.
- 2. Process used by health care providers to determine if they will cover a prescribed procedure, service or medication.
- 4. process of determining which of two or more insurance policies will have primary responsibility of processing/paying a claim and the extent to which the other policies will contribute.
- 6. Medication administered directly into the veins.
- 7. the act of processing a pharmacy claim.
- 10. Unique 10-digit code issued to health care providers in the U.S.