Creating a Robust Specialty Pharmacy Network—The Payer Approach

ACPE UAN #:  0233-0000-17-010-H04-P

Release Date: March 28, 2017

Expiration Date:  March 28, 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

Stakeholders in the specialty pharmacy industry have carved out a niche for themselves in the treatment of conditions requiring high cost, high touch medications. As a result, patients have access to pharmacy personnel educated in uncommon complex disease states, unique support programs, and a wide range of drug products that may not be as readily available in other community pharmacy settings.   Unfortunately, this can also result in a disconnected model of care due to lack of access to pertinent medical or pharmacy records from health systems, providers and community pharmacies.  This session will present a health plan’s assessment of challenges to managing specialty pharmacies, and discuss the pharmacy network created to optimize the strengths of each type of participating pharmacy, such as specialty pharmacies, health-system pharmacies and community pharmacies.  

Learning Objectives:  

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

1. Identify the newer stakeholders interested in gaining access to restricted distributions.

2. Describe how health plans can approach the development of specialty pharmacy networks.

3. Describe the similarities and differences between the types of pharmacies that might be included in a specialty pharmacy network.

4. Discuss the challenges faced by payers when managing specialty pharmacy networks. 

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.

Moderator:

Kim Foerster | Vice President | Excelsior Solutions | Linden, Michigan

Credit Information

Activity Number Credit Amount Accreditation Period
ACPE UAN #0233-0000-17-010-H04-P 1.25 Contact Hours March 28, 2017 - March 28, 2020