Formulary and Utilization Management

In managed care pharmacy, formulary and utilization management requires collaboration across health care teams (drug review panels, safety committees, medical and pharmacy staff etc.) to ensure the appropriate, safe, and cost-effective use of medications. Our resources provide guidelines, tools, and best practices to help these health care professionals manage drug formularies, optimize medication therapy, and enhance patient care.

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Concepts in Managed Care Pharmacy

Formulary Management

Formulary management is an integrated patient care process which enables physicians, pharmacists and other health care professionals to work together to promote clinically sound, cost-effective medication therapy and positive therapeutic outcomes. Effective use of health care resources can minimize overall medical costs, improve patient access to more affordable care and provide an improved quality of life.
Managed Care Practice Issues, Formulary & Utilization Management
Concepts in Managed Care Pharmacy

Population Health Management

Population health management (PHM) is a key concept in managed care. Improving population health, enhancing the patient experience, and reducing per capita cost are the primary goals of a philosophy called the Triple Aim. PHM extends beyond healthcare organizations, requiring the cooperation of other types of institutions, such as public health departments and social service entities.
Managed Care Practice Issues, Formulary & Utilization Management