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How to become a PBM pharmacist

SingleCare

Many PBM pharmacists work in a mail-order pharmacy, performing drug utilization reviews (DURs), verifying prescriptions, and overseeing an automated dispensing process. They often work at a desk, handling and processing prior authorizations, medication therapy management programs, among other duties.

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OTC Assessments With Recommendations and Counseling Should Be a Billable Encounter

Pharmacy Times

That means that pharmacists in the twilight of their career have, at some point, filled a prescription, engaged in drug utilization review, filed insurance claims, and counseled per the Omnibus Budget Reconciliation Act of 1990 regulations for many of the products now found in front of the counter.

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DIR Fee Changes Coming in 2024: The Pros and Cons for Independent Pharmacies

Digital Pharmacist

Currently, PBMs can charge DIR fees for a variety of reasons, including performance metrics, drug utilization reviews, and medication therapy management. These fees can be substantial and are often difficult for independent pharmacies to predict and budget for.

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Does Medicaid cover Vraylar?

The Checkup by Singlecare

“Patients who want to purchase Vraylar with Medicaid should review the plan’s formulary and discuss the options with the doctor or pharmacist to obtain the best coverage.” Antipsychotics are consistently part of Medicaid’s drug utilization reviews (DUR) , which assess drug abuse and misuse.

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PQA Appoints 19 Individuals to Health Equity TEP

PQA

The appointed panelists are: Matthew Dinh, SCAN Health Plan Marybeth Farquhar, American Urological Association (AUA) Dana Erf Fortman, Walgreens Katie Herndon, Pfizer Michelle Juhanson, Magellan Rx Management Shellie Keast, American Drug Utilization Review Society (ADURS) Susie Kim, CVS Health Aimee Loucks, Kaiser Permanente Nate Lucena, Rex Wallace (..)