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Historically, a pharmacy benefit manager (PBM) is a third-party administrator of prescription. drug programs. PBMs are primarily responsible for developing and maintaining the. formulary, contracting with pharmacies, negotiating discounts and rebates with drug. manufacturers, and processing and paying prescription drug claims.
The Qualified Medicare Beneficiaries program. (QMB) is a Medicaid program administered. by the Oregon Department of Human. Services. QMB helps people with Medicare. pay for their medical care. The federal. government calls this program the Medicare. Savings Program.