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Prior authorization is a check run by some insurance companies or third-party payers in the United States before they will agree to cover certain prescribed medications or medical procedures. [1] There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a generic ...
Institutional review board. An institutional review board (IRB), also known as an independent ethics committee (IEC), ethical review board (ERB), or research ethics board (REB), is a committee at an institution that applies research ethics by reviewing the methods proposed for research involving human subjects, to ensure that the projects are ...
President. Jesse M. Ehrenfeld (MD, MPH) [2] Revenue (2022) $493,147,829 [3] Website. ama-assn.org. The American Medical Association (AMA) is an American professional association and lobbying group of physicians and medical students. Founded in 1847, it is headquartered in Chicago, Illinois. [4][5] Membership was 271,660 in 2022.
Prior authorization (PA) is a tool we use to help manage these costs. Even more importantly, they’re a safety measure. Our goal is to ensure our members have the right drug, the right dose, for ...
Utilization management. Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.
Pharmaceutical Research is an official journal of the American Association of Pharmaceutical Scientists and covers research spanning the entire spectrum of drug discovery, development, evaluation, and regulatory approval. Small drug molecules, biotechnology products including genes, peptides, proteins and vaccines, and genetically engineered ...
The Journal of Pharmacy & Pharmaceutical Sciences is an open access peer-reviewed medical journal covering all aspects of pharmacy and pharmaceutical sciences. It was established in 1998, and is published by Frontiers Media on behalf of the Canadian Society for Pharmaceutical Sciences. The editor-in-chief is Fakhreddin Jamali ( University of ...
[78] The Academy of Managed Care Pharmacy (AMCP) designates a product as a specialty drug if "[i]t requires a difficult or unusual process of delivery to the patient (preparation, handling, storage, inventory, distribution, Risk Evaluation and Mitigation Strategy (REMS) programs, data collection, or administration) or, Patient management prior ...