Mail Service Provider
A pharmacy that dispenses medication through a shipping service to the home or office of the member receiving the prescription. This service is typically used by individuals who take one or more medications over an extended period of time.
Maintenance Medications
Drugs used to treat chronic diseases or conditions, and taken on a long-term basis.
Multi-source Brand
A drug product manufactured by more than one company or source. Multi-source drugs are those that are available both as the brand-name drug, and as generic equivalents or generic alternatives.
Non-formulary Drugs
Drugs not included on a plan’s drug list or formulary.
Nonpreferred Brands
Brand name drugs not included on a plan’s formulary.
Over-The-Counter (OTC) Drug
Drugs approved by the U.S. Food and Drug Administration that do not require a prescription to be purchased.
Pharmacy Benefits Managers (PBMs)
An organization dedicated to providing prescription benefit management services. A full-service PBM like RxPreferred maintains eligibility, adjudicates prescription claims, provides clinical services, contracts and manages pharmacy networks, and provides management reports.
Pill Splitting
Cutting prescription medications in half to double the number of days’ supply from one prescription.
Preferred Brands
Brand-name drugs included on a plan’s formulary.
Preferred Drug List (PDL)
The list of drugs covered by a prescription plan. Also known as a formulary.