GlobalReach Health

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 to

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

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

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

The following medications are excluded from your prescription benefit plan and have lower-cost brand name alternatives available.

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

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

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