Pharmacy Benefits Management
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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.
Pharmacy benefits management transforms the way healthcare organizations control drug costs while ensuring patients receive safe and effective medications.
What You Will Learn
- 1 Learn the foundational components and stakeholders of pharmacy benefits management.
- 2 Understand pharmacy benefit design and formulary management strategies.
- 3 Explore drug pricing models and reimbursement mechanisms.
- 4 Analyze utilization management techniques including prior authorization and step therapy.
- 5 Implement effective pharmacy network management and contracting.
- 6 Evaluate specialty pharmacy management for high-cost medications.
- 7 Apply data analytics to improve pharmacy benefit performance and reporting.
- 8 Comprehend regulatory requirements impacting pharmacy benefits including HIPAA and Medicare Part D.
- 9 Develop communication strategies for members and providers regarding pharmacy benefits.
- 10 Identify future trends shaping the pharmacy benefits landscape.
What's Included
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Pharmacy Benefits Management