Real-Time Pharmacy Benefits: Results and Learnings from a Real-World Implementation



ACPE UAN #:  0233-0000-19-066-H04-P

Release DateOctober 31, 2019

Expiration Date:  October 31, 2022

Activity Type:    Knowledge-based

Contact Hours:  1.5 

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

Target Audience: Pharmacists who practice in managed care settings.

Activity Description:

Real-time pharmacy benefits (RTPB) deliver real-time access to medication pricing and restriction information at the point of prescribing. This allows providers to engage in shared decision making with patients and to prescribe the most appropriate and cost-effective treatment for patients based on information sent by the payer. The real-time pharmacy benefit query delivers up-to-date information that is specific to the medication being prescribed and the patient’s pharmacy benefit that may otherwise be missed by outdated benefit-level formulary and coverage information in the electronic health record.  This session will give an overview of the implementation of real-time pharmacy benefits by an integrated health care organization that includes an overview of operational workflows for blending electronic prior authorization with real-time pharmacy benefits. Additionally, it will look at barriers encountered during implementation, and real-world results, including the impact on prior authorization workloads for the payer and providers. 

Learning Objectives:  

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

  1. Describe how real-time pharmacy benefits information is exchanged between the electronic health record and payers and is used by providers.
  2. Recognize advantages that an integrated health care organization has when implementing real-time pharmacy benefits.
  3. Discuss the impact that real-time pharmacy benefits have on prior authorization workloads from both a provider and payer perspective.
  4. Identify opportunities for continued improvement of real-time pharmacy benefit transactions. 

Schedule of Educational Activity:

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

Accreditation Statement:


The Academy of Managed Care Pharmacy (AMCP) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

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.  AMCP intends that all CPE activities be independent, objective, balanced, evidence-based, and free of any commercial bias.

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 AMCP Nexus 2019.

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.

Moderator:

Robert S. Oscar | RPh | Chief Executive Officer | RxEOB | Henrico, Virginia.

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 websites.  View the minimum technical and system requirements for continuing education online learning activities.

Credit Information

Activity Number Credit Amount Accreditation Period
ACPE UAN #0233-0000-19-066-H04-P 1.5 Contact Hours October 31, 2019 - October 31, 2022