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Trial Card

Across
A drug entity that is availbale from a single source or manufacturer
Organization that can be hired to manage the pharmacy benefit for health plans or for employers
Specific site or facility where health care services are provided to a patient
System for identification of all marketed pharmaceutical products
Brand name for infliximab
Requirement that a first line of therapy be tried by a patient before a second line of therapy will be covered
Patient with insurance that does not adequately cover the cost of thier medical needs, regardless of payer type
Not usually a percentage, a form of cost sharing, a level payment for services rendered
Based on annual cash income, determines subsidies
Down
Program for people who receive part A and income is between 100% -120% of federal poverty level
Generic for Simponi Aria
Generic Stelara
An organization that coordinates healthcare delivery and sells health plan
A specific technique used by payers to manage cost through case by case assessments of the clinical justification for a proposed medical treatment or service
Patient medical record stored electronically
Health care providers ask insurance company to review a denied claim for benefits
The dollar amount of claims at which point 100% of the OOP has been paid
Federal health care coverage for individuals who are elderly or disabled
A safety net program for patients with aids that offers access to medications at a low cost