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The World of Edits Pharmacy: Helping The Bottom Line
Smart pharmacies have been working hard to manage their submitted claims and track reimbursements for some time now, with a wide variety of claims...
Focus on Medicare and Medicaid Claims
The National Community Pharmacists Association’s (NCPA) Vice President of Pharmacy Policy and Regulatory Affairs Ronna Hauser, Pharm.D., offers insight into challenges that pharmacies are...
Reducing Claim Rejects with Electronic Prior Authorization
According to CoverMyMeds Analytics, approximately 10% of prescription claims are rejected at the pharmacy. On average, 66% of those prescriptions require prior authorization (PA),...
3 Steps to Buying Smart with Your Prime Vendor Agreement
Pharmacies focus a lot of attention on what they get paid for dispensing a medication, but it can be very important to the bottom...
CMS Part D Rules for Opioid Dispensing Safety Edits
New CMS Part D rules for opioid dispensing safety edits went into effect Jan. 1, which now require hard safety edits for seven-day initial...
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Pharmacy Voices
Considerations for Opening a Specialty Pharmacy
Specialty pharmacy developed as a segment of pharmacy to meet the needs of patients who didn’t require hospitalization, but their medication, administration, training, and...
Pharmacy HIT Collaborative Updates Roadmap
The Pharmacy Health Information Technology (HIT) Collaborative released its updated integration roadmap in mid−November, entitled, “The Roadmap for Pharmacy Health Information Technology Integration in U.S....
In the Works: Major Change to the NDC Number
It may not be exciting or cutting-edge except to those of us in information technology, but the pharmaceutical supply chain and pharmacy profession’s operations...
Partnering to Educate Future Pharmacists
We both have young children. In the months leading up to their arrival, well-intentioned family and friends generously shared their advice and the experiences...
Why You Can – and Should – Establish a Collaborative Practice
Over the course of the year I've interviewed a number of pharmacists who have found ways to expand their practice beyond dispensing. One good...
