Managed Care Pharmacy
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Table of Contents
Table of Contents
This course provides educational information and does not replace professional medical advice, diagnosis, treatment, or clinical judgment.
Discover how managed care pharmacy transforms medication access and costs for millions of patients.
What You Will Learn
- 1 Learn the fundamentals of managed care pharmacy and its role in healthcare delivery.
- 2 Understand pharmacy benefit management (PBM) functions and operations.
- 3 Analyze formulary design, management strategies, and impact on drug costs.
- 4 Apply drug utilization review (DUR) techniques to optimize medication use.
- 5 Implement prior authorization and step therapy protocols to manage access.
- 6 Explore pharmacy network contracting and credentialing processes.
- 7 Understand quality metrics, outcomes research, and medication adherence programs.
- 8 Recognize key regulations (HIPAA, ERISA, federal anti-kickback) affecting managed care pharmacy.
- 9 Examine specialty drug management, distribution, and patient support programs.
- 10 Discover emerging trends including value-based models, biosimilars, and digital health.
What's Included
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Managed Care Pharmacy