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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 (QMB) program helps people who have Medicare pay for their medical care. To receive benefits from the QMB program you must be receiving Part A (Hospital insurance benefits) coverage of Medicare.Your income and resources must fall within certain limits.he Qualified Medicare Beneficiaries (QMB) program helps people who have Medicare pay for their medical care. To receive benefits from the QMB program you must be receiving Part A (Hospital insurance benefits) coverage of Medicare.