PPRAG 1438: Managed Care

The purpose of this course is to provide an overview of managed care pharmacy and how it impacts the US healthcare system. The course prepares students to understand and learn about professional practice opportunities in managed care pharmacy by exploring: healthcare reform, managed healthcare delivery models, prescription benefit design, pharmacy networks, utilization management tools, P&T Committees, pharmacy data management, pharmacy benefit managers, specialty pharmacy and pharmaceutical manufacturers. In addition, the course focuses on how business principles are integrated into the managed care pharmacy department, and address how clinical pharmacy, quality improvement, medication therapy management/disease management programs are coordinated within the managed care pharmacy environment.