4 ms·
I’ve had specialty medicine approved that very clearly goes against policy at different phases of the review process (including immediately) on different insura
by erentz 7y ago
I’ve had specialty medicine approved that very clearly goes against policy at different phases of the review process (including immediately) on different insurance plans. So they do seem to me to have this power.
- lotsofpulp 7y agoI can't answer for why they would violate the policies they are supposed to be enforcing, but I do no know PBMs get audited by governments and penalized for improperly approving medications for Medicaid recipients.