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Managed Care Pharmacy Practice - Robert P. Navarro

Managed Care Pharmacy Practice

Hardcover Published: 1st April 2009
ISBN: 9780763732400
Number Of Pages: 633

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Managed Care Pharmacy Practice, Second Edition offers information critical to the development and operation of a managed care pharmacy program. The text also covers the changes that have taken place within the delivery of pharmacy services, now that a higher percent of the population is enrolled in some type of 'managed' health care organization. The Second Edition reflects contemporary health care management and policy issues, details how the value of pharmaceuticals is assessed by health plans and PBMs, and discusses how value-based formularies are developed and managed. Health care policy issues are addressed from a societal perspective to illustrate how managed care organizations respond to, or lead, public policy decisions. The Second Edition has been thoroughly updated to reflect the significant changes in development and execution of managed care pharmacy benefit management.

Chapter 1: The Role of Managed Care in the US Health Care System Chapter 2: Overview of Prescription Drug Benefits Managed Care Chapter 3: Pharmacy Benefit Design, Marketing, and Customer Contracting Chapter 4: Pharmacy Benefit Management Programs Chapter 5: Pharmacy Distribution Systems and Network Management Chapter 6: Specialty Pharmaceuticals Chapter 7: Managed Care Information Systems Chapter 8: Drug Utilization Review Strategies Chapter 9: The Role of Drug Formularies in Managed Care Organizations Chapter 10: Member Satisfaction Strategies Chapter 11: The AMCP Format for Evidence Based Formulary Submissions Chapter 12: Pharmacoeconomic Research and Applications in Managed Care Chapter 13: Pharmacy & Therapeutics Committees in Managed Care Organizations Chapter 14: Role of the Pharmaceutical Company in Managed Care Chapter 15: Managed Care Contracts with Pharmaceutical Manufacturers Chapter 16: Impact of Managed Care on Pharmacy Practice Chapter 17: The Fundamentals of Healthcare Benefits from the Employer Plan Sponsor Perspective Chapter 18: Medicaid Pharmacy Benefit Management Chapter 19: Medicare Pharmacy Benefits Chapter 20: The Value of Pharmaceuticals Chapter 21: Pharmacist Career Opportunities in Managed Care Chapter 22: Ethical Aspects of Pharmacy Practice in Managed Care Chapter 23: Politics, Public Policy and National Health Care Reform: Medicare and the Medicare Modernization Act of 2003 Chapter 24: International Opportunities for Pharmacists in Managed Care Chapter 25: Future of Managed Care Pharmacy Practice

ISBN: 9780763732400
ISBN-10: 0763732400
Audience: Tertiary; University or College
Format: Hardcover
Language: English
Number Of Pages: 633
Published: 1st April 2009
Publisher: Jones and Bartlett Publishers, Inc
Country of Publication: US
Dimensions (cm): 22.86 x 17.78  x 3.18
Weight (kg): 1.16
Edition Number: 2
Edition Type: Revised