Pharmacy Benefit Management, v. 2.0.1
The following pages discuss the standard that comprise URAC's Pharmacy Benefit Management v. 2.0.1 accreditation module. Click on the hyperlink for each module to get to the standard-by-standard coverage of the module.
PBM 2.0.1 Consumer Communication Practices (CSCD 1-5, 13)
PBM 2.0.1 Customer Service (CSCD 8-12)
PBM 2.0.1 Contracting and Regulatory (CSCD 6-7)
PBM 2.0.1 E-Prescribing (CSCD 14)
PBM 2.0.1 Contracting and Regulatory (PTFD 5)
PBM 2.0.1 Pharmacy Services (Pharm DC 1-4)
PBM 2.0.1 Retail Pharmacy Network (Pharm DC 5-13)
PBM 2.0.1 Drug Utilization Management, Pre-Appeal (DrUM 1-11, 14-18)
PBM 2.0.1 Drug Utilization Management, Appeals (DrUM 19-27)
PBM 2.0.1 Drug Utilization Management, Exceptions/Exclusions (DrUM 12-13)