Managed Care Pharmacy Practice

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Jones & Bartlett Learning, Oct 7, 2009 - Medical - 633 pages
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Written from a practical perspective, Managed Care Pharmacy Practice takes the reader through the issues critical to development and operation of a managed care pharmacy program. The reader will gain new insights into how managed care has altered the delivery of pharmacy services, as well as into the evolving role of pharmacists. Managed Care Pharmacy Practice explains the fundamentals of developing and operating a successful managed care pharmacy benefit, and also supplies insightful guidance on professional careers in the field. This text takes a sequential approach to history, background, program components, program development, operations, and performance measurement, with 25 chapters arranged in three main sections.
 

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Contents

ROLE OF MANAGED CARE IN THE US HEALTHCARE SYSTEM
1
OVERVIEW OF PRESCRIPTION DRUG BENEFITS IN MANAGED CARE
17
PHARMACY BENEFIT DESIGN MARKETING AND CUSTOMER CONTRACTING
51
PHARMACY BENEFIT MANAGEMENT COMPANIES
95
PHARMACY DISTRIBUTION SYSTEMS AND NETWORK MANAGEMENT
115
SPECIALTY PHARMACEUTICALS
151
MANAGED CARE PHARMACY INFORMATION SYSTEMS
183
DRUG UTILIZATION REVIEW STRATEGIES
215
IMPACT OF MANAGED CARE ON PHARMACY PRACTICE
387
FUNDAMENTALS OF HEALTHCARE BENEFITS FROM THE EMPLOYER PLAN SPONSORS PERSPECTIVE
413
MEDICAID PHARMACY BENEFIT MANAGEMENT
427
MEDICARE PHARMACY BENEFITS
459
THE VALUE OF PHARMACEUTICALS
477
MEDICATION THERAPY MANAGEMENT
491
PHARMACIST CAREER OPPORTUNITIES IN MANAGED CARE
515
ETHICAL ASPECTS OF PHARMACY PRACTICE IN MANAGED CARE
525

ROLE OF DRUG FORMULARIES IN MANAGED CARE ORGANIZATIONS
233
MEMBER SATISFACTION STRATEGIES
253
AMCP FORMAT FOR FORMULARY SUBMISSIONS
273
PHARMACOECONOMIC RESEARCH AND APPLICATIONS IN MANAGED CARE
289
PHARMACY THERAPEUTICS COMMITTEES IN MANAGED CARE ORGANIZATIONS
323
ROLE OF THE PHARMACEUTICAL COMPANY IN MANAGED CARE
341
MANAGED CARE CONTRACTS WITH PHARMACEUTICAL MANUFACTURERS
361
POLITICS PUBLIC POLICY AND NATIONAL HEALTHCARE REFORM MEDICARE AND THE MEDICARE MODERNIZATION ACT OF 2003
541
INTERNATIONAL OPPORTUNITIES FOR PHARMACISTS IN MANAGED CARE
563
FUTURE OF MANAGED CARE PHARMACY PRACTICE
573
AMCP GLOSSARY OF MANAGED CARE TERMS
583
INDEX
621
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