Encore: Approaches to Managed Care Contracting with Pharmaceutical Manufacturers

ACPE UAN:  0233-0000-17-022-H04-P

Release Date: March 29, 2017

Expiration Date:  March 29, 2020

Activity Type:    Knowledge-based

Contact Hours:  1.25

Activity Fee:  Member:  $15        Non-Member: $30

Target Audience: Pharmacists who practice in managed care settings.

Activity Overview

The ability to secure favorable discounts or rebates from pharmaceutical manufacturers as part of a formulary contracting agreement is a key cost containment approach for payers and health plans. The terms of these contracts are complex and innovative, and they can present unique clinical and operational challenges.  As financial pressures continue to intensify—and managed care organizations struggle to find effective ways to limit the impact of rising drug costs—it is important for managed care pharmacists to understand the design and value of different types of contracts.  This well-attended session from AMCP Nexus 2016 will provide an overview of common approaches to manufacturer–payer agreements and offer a glimpse into the future of managed care contracting.

Learning Objectives:  

At the completion of this activity, participants should be able to:

1. Describe the incentives and dynamics underlying different types of rebates (e.g., access, performance) and their integration with formulary management.

2. Explain common types of contract arrangements (e.g., standard rebates, outcomes-based contracts, risk-sharing contracts, value based contracts), with an emphasis on the opportunities and risks  associated with each approach.

3. Discuss innovations and emerging trends in managed care pharmacy contracting, including indication-based contracts and price protection arrangements. 

Schedule of Educational Activity

This activity consists of an audio recording, pre-test assessment questions (not required to pass or continue), post-test questions (required to pass with a score of 70% or higher) and a specific activity evaluation. 

CPE Requirements:   

Participants should claim continuing pharmacy education (CPE) credit for this home study activity only if they have not claimed credit for the live activity presented at the AMCP Annual Meeting 2017. 

CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor.  Please allow 72 hours for processing and posting in your NABP account.

To receive credit for an online activity you must:

  • Review the full content of the activity.
  • Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
  • Complete a specific activity evaluation.

System Technical Requirements/Viewing Requirements: System Requirements Courses and learning activities are delivered via your Web browser and Acrobat PDF. For all activities you should have a basic comfort level using a computer and navigating web sites.  View the minimum technical and system requirements for continuing education online learning activities.

As an accredited provider, AMCP strictly adheres to the ACPE Standards for Commercial Support and other relevant guidelines and standards to ensure the independence of continuing pharmacy education (CPE) activities.  It is AMCP’s intent that all CPE activities be independent, objective, balanced, evidence-based and free of any commercial bias.


Briana Santaniello, PharmD, MBA | Senior Clinical Project Manager | Magellan Rx Management, Managed Markets Solutions | Newport, Rhode Island

Credit Information

Activity Number Credit Amount Accreditation Period
ACPE UAN #0233-0000-17-022-H04-P 1.25 Contact Hours March 29, 2017 - March 29, 2020