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An RX group, or prescription group, refers to a categorization used by insurance companies to organize and manage prescription drug benefits for their members. It typically includes a set of rules and cost-sharing structures for different medications, which can affect copayments and coverage levels. RX groups help streamline the process of determining a patient's out-of-pocket costs for prescriptions and ensure that medications are aligned with the insurance plan's formulary.

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∙ 1y ago

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