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A primer on managed care pharmacy
Laura E Happe1, Babette S Edgar2
1Journal of Managed Care Pharmacy, Academy of Managed Care Pharmacy, Alexandria, VA, and Department of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, Gainesville.
Journal of Managed Care & Specialty Pharmacy
|December 7, 2023
Summary
This primer defines managed care pharmacy and its core competencies. It covers essential areas like benefit design, formulary management, clinical programs, quality, safety, and affordability promotion for healthcare organizations.
Area of Science:
- Pharmacy
- Health Services Research
- Healthcare Management
Background:
- Managed care pharmacy is a critical component of modern healthcare systems.
- Understanding its practice and competencies is essential for effective healthcare delivery.
- This primer provides a foundational overview for professionals and students.
Purpose of the Study:
- To define the practice of managed care pharmacy.
- To introduce the key competencies required for managed care pharmacy organizations.
- To highlight the scope of responsibilities within this specialized field.
Main Methods:
- This document is a primer, providing a definition and overview.
- It synthesizes information on core competencies in managed care pharmacy.
- No primary research methods were employed; it is an educational resource.
Main Results:
- Managed care pharmacy encompasses a broad range of activities.
- Key competencies include pharmacy benefit design and implementation.
- Other vital areas are formulary management, clinical program development, quality/safety management, and affordability.
Conclusions:
- Managed care pharmacy plays a vital role in optimizing medication use and healthcare costs.
- Proficiency in defined competencies is crucial for successful managed care pharmacy practice.
- This primer serves as an introductory guide to the field's essential components.
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