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Showing 2 posts from March 2019.

Responding to State Board of Pharmacy Licensing and Regulatory Proceedings

State Boards of Pharmacy are responsible for protecting the health, safety and welfare of the public by regulating the legal distribution of prescription drugs in their respective states, and ensuring the quality of all drugs administered, prescribed, distributed, or dispensed by prescription. That responsibility includes regulating the practice of pharmacy; administering and enforcing pharmacy practice acts and regulations in their respective states; and licensing, regulating, monitoring, investigating, and disciplining pharmacists and pharmacies.

A State Board of Pharmacy may reprimand, cancel, suspend, or revoke the license of a pharmacist or pharmacy that is found to have violated applicable pharmacy laws or regulations. State Board of Pharmacy disciplinary action on a pharmacist or pharmacy license based on disciplinary action by another State Board of Pharmacy is common and can present a multitude of problems for pharmacists and pharmacies that operate on a national basis.

It takes years of dedication and hard work to develop the skills necessary to secure a pharmacist license or operate a pharmacy. If confronted with State Board of Pharmacy disciplinary actions, it is critical for pharmacists and pharmacies alike to know how to respond. More ›

New Cost Containment Strategies Allow Payors to Reduce In-Network Reimbursements

A Managed Care Organization (MCO) contracts with providers to create provider networks that deliver health care services at discounted rates. The plan accessing the provider network may offer a Coverage Agreement issued by the MCO. In the alternative, the plan accessing the provider network may be a self-funded plan offered by an employer that contracts with the MCO to access the MCO's network to apply its discounted rates to the self-funded plan's Coverage Agreement. Providers are either reimbursed by the MCO's plans or by the self-funded plans accessing the network and offering benefit plans to employees. More ›

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