A list of selected pharmaceuticals and their appropriate dosages created by health insurance plans and state Medicaid programs, and are usually intended to include a broad array of prescription drugs that are also cost-effective for patient care. Physicians are often...
A health care professional, usually a primary care physician, who coordinates, manages, and authorizes all health services provided to a person covered by certain types of health plans. Unless an emergency exists, the gatekeeper generally must pre-authorize referrals...
A generic drug is a drug identical to an innovator drug that is marketed after the innovator’s patent period ends. Generic drugs can cost 75-80 percent less than the original brand-name drug.
A fixed maximum expenditure for a defined set of health care services for a covered population. Global budgets are intended to constrain both the level and rate of increase in health care costs by limiting them directly.