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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.

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.