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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
PubMed
Summary
This summary is machine-generated.

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.

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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.