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Describe the core elements required within the DSCSA (Drug Supply Chain Security Act) Describe the role of pharmacy benefit managers (PBMs) in the US Healthcare

  1. Describe the core elements required within the DSCSA (Drug Supply Chain Security Act)
  2. Describe the role of pharmacy benefit managers (PBMs) in the US Healthcare System
  3. Explain the overall structure of the Oregon Health Plan (Medicaid), including the "7-11 Carveout"

Assuming a family/household of 4in each of the following scenarios, determine the income eligibility cut-off for each of the following Medicaid populations using the Oregon Health Plan determinations:

  • 6 month-old child:
  • 12 year-old child:
  • 34 year-old pregnant woman:

How is the Oregon Health Plan (OHP) administered?

What medications/medication classes are excluded from the Oregon Health Plan?

Why are these medications excluded from the OHP?

Who administers the benefits for these medications/medication classes?

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