Prescription Drug Benefit Manager (PBM)
Medicare Glossary
A company that manages prescription drug benefits on behalf of health insurance plans. PBMs negotiate drug prices, manage formularies, and process prescription claims.
Have Questions About Medicare?
Speak with an agent who can help you understand your coverage options - no cost, no obligation.
This content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.
Related Articles
Medicare for Veterans: How VA Benefits and Medicare Work Together
Learn how VA healthcare benefits and Medicare interact, why many veterans enroll in Part B, and how VA drug coverage compares to Part D.
Read MoreMedicare and Employer Coverage: Coordination of Benefits
Understand how Medicare coordinates with employer health insurance, including primary vs secondary payer rules, claims processing, and retiree coverage.
Read MoreMedicare Drug Price Negotiation: Third Round of Drugs Announced
CMS announced the third cycle of Medicare drug price negotiation, selecting 15 drugs including the first Part B medications. Here is what it means for you.
Read More