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Medication Therapy Management and Emerging Payment Opportunities
Quiz Questions
1. Approximately what percent of hospital readmissions are estimated to be related to medication
issues?
a. 5×
b. 33×
c.
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What is medication formulary management?
Medication formulary management is the process of managing and optimizing a list of prescription medications that are covered by a health insurance plan or pharmacy benefit.
Who is required to file medication formulary management?
Health insurance plans, pharmacy benefit managers, and healthcare providers are typically required to file medication formulary management.
How to fill out medication formulary management?
Medication formulary management can be filled out by updating the list of covered medications, adding new medications, and removing medications that are no longer covered.
What is the purpose of medication formulary management?
The purpose of medication formulary management is to ensure cost-effective medication choices, promote safe and effective medication use, and optimize patient outcomes.
What information must be reported on medication formulary management?
Information that must be reported on medication formulary management includes the list of covered medications, formulary tiers, prior authorization requirements, and any restrictions or limitations.
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