Global Reach Health News

August 10, 2023

Primary Formulary Changes

BeneCard PBF is committed to providing innovative clinical solutions, valuable trend management strategies, and the highest quality of service. We regularly conduct a review of our formulary
August 10, 2023

Primary Formulary Step Therapy

Step Therapy is a program designed to encourage appropriate utilization of lowest-net-cost medications for chronic medical conditions, helping to control healthcare costs. Step Therapy is a series of steps or medications that must be tried in a specific order. We review the prescription claim history for specific
August 10, 2023

Performance Formulary Step Therapy

Step Therapy is a program designed to encourage appropriate utilization of lowest-net-cost medications for chronic medical conditions, helping to control healthcare costs. Step Therapy is a series of steps or medications that must be tried in a specific order. We review the prescription claim history for specific
August 10, 2023

Specialty Clinical Consultation List

Specialty medications are medications that require special handling, personalized care, monitoring, or special delivery needs. These products, whether injectable or non-injectable medications, require specialized clinical management, patient education
August 10, 2023

Drug Quantity Management Program

Medications may have a high risk of side effects or an adverse event when taken above the recommended FDA amount. To promote safe and appropriate use of such medications, BeneCard PBF has limits for how much medication can be obtained
August 10, 2023

Standard Clinical Review List

BeneCard PBF’s clinical review program utilizes online claim adjudication edits to prevent claim payment until BeneCard PBF has assessed the patient’s drug history and/or current diagnosis through communication with the member’s
August 10, 2023

P&T Committee Changes

As your Prescription Benefit Facilitator, BeneCard PBF is committed to providing the highest quality service, innovative clinical solutions, and valuable trend management strategies