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Medicare Beneficiary Drug Rebate

Under the Affordable Care Act, a one-time, tax-free $250 rebate offered to eligible Medicare beneficiaries who surpass Part D prescription drug coverage limits - an area colloquially referred to as the "donut hole". The rebate serves to assist Medicare enrollees with limited incomes to afford the medications they need.

Utilization Review (UR)

Refers to the evaluation of the efficiency and need of health care services, including procedures and facilities, according to established criteria of the provisions of…