Infusion Pharmacy is growing as new drugs are approved, therapies are developed and the population ages. The growth in ambulatory infusion therapy centers is a result of CMS and other payers seeking lower cost settings to hospital-based inpatient infusion centers. Ambulatory infusion centers include in-pharmacy infusion suites, physician-based infusion administration, hospital-based outpatient centers, and home infusion therapy.
Qualified infusion pharmacies must satisfy licensing and other regulatory requirements imposed by state pharmacy boards as well as accreditation standards required by most third-party payers. Infusion pharmacies may also provide additional professional therapies and services, including enteral nutrition therapy, inhalation therapies using nebulizers, and disease state and care management services.
Infusion Pharmacy Accreditation is voluntary. However, most third-party payers require infusion pharmacies to achieve accreditation as a means of validating the organization's compliance with state and federal regulations and professional standards of practice, and assurance that it is providing clinical and supportive services in a manner designed to ensure patient safety and quality of care.
The rapid development of this channel for specialty pharmacy and CMS’ bundled payment reform stimulated by the 21st Century Cures Act drives the need for accreditation standards to support infusion pharmacies with a commitment to quality improvement, accountability, consumer protection and safe patient care.
URAC’s Infusion Pharmacy Accreditation standards cover practice management, consumer safety, complete care services, and practice standards, guidelines, and protocols. This program applies to all payers and sites except Medicare home infusion suppliers. URAC’s Medicare Home Infusion Therapy Supplier Accreditation addresses infusion therapy funded by Medicare and provided in the patient’s home. The standards for these two programs are the same, and URAC anticipates that many pharmacies will pursue both accreditations simultaneously. Please click here to learn more.
The URAC-accredited infusion therapy supplier:
- Handles specialized, complex pharmaceutical and/or nutritional products by managing infusion therapy plans
- Provides clinical assessment and ongoing monitoring of patients in their homes or other alternative ambulatory care sites
- Maintains ongoing monitoring and important consumer safety protections associated with infusible therapies
- Encourages coordinated patient care via a multidisciplinary team, with comprehensive assessments and care planning
- Provides patient & caregiver education, and reports on adverse events
- Has policies and procedures in place to ensure consumers have access to appropriate medications and/or nutritional products.
- And more.
Download our Infusion Pharmacy Standards-at-a-Glance.
Who may apply
Pharmacy-based infusion therapy suppliers in good standing located in the United States. Those that have already achieved URAC Specialty Pharmacy Accreditation or are seeking URAC Specialty Pharmacy Accreditation are encouraged to apply.