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Managed Care Pharmacy is the practice of developing and applying evidence-based medication use strategies that
enhance patient and population health outcomes while optimizing health care
resources.
Managed care pharmacy professionals — including pharmacists,
physicians and nurses — typically work for health plans, pharmacy benefit
management companies, accountable care organizations, integrated delivery
systems and other managed care organizations. They perform many functions,
including:
- Develop and implement evidence-based clinical programs and
medication therapy management (MTM) programs and services
- Design pharmacy benefits for health plans
- Manage quality and cost effectiveness
- Communicate and collaborate with patients, prescribers, and
pharmacists
- Institute practices and processes that detect unsafe
medicines to ensure patient safety
All of these practices, and more, aim to
ensure that all patients have access to the pharmaceuticals they need and that
the medications they take are improving their lives.
Careers for Pharmacists in Managed Health Care Organizations
Managed Care Pharmacy - an overview of managed care pharmacy and the tools it uses
Pharmacists' Patient Care Process