In general, specialty pharmacy accreditation is required by insurers to dispense specialty medications at a pharmacy. Attaining accreditation helps FQHCs (Federally Qualified Health Centers) develop a more robust pharmacy practice that serves the communities' needs directly.
While there is no federal mandate requiring FQHCs to be accredited for specialty pharmacy, many payers and distribution networks require specialty pharmacies to be accredited in order to contract with them. URAC knows organizations often prefer to work with pharmacies demonstrating high-quality standards through accreditation.
Key points to consider:
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Specialty Pharmacy Services: A pharmacy operating within an FQHC can provide direct advanced care for patients with chronic or complex conditions requiring specialized medications, including medication counseling, adherence monitoring and coordination with other healthcare providers.
- Patient care: Accreditation ensures a specialty pharmacy meets standards for patient management, medication therapy management, and overall quality of care, which is crucial for FQHC patients often managing complex medical conditions.
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Sustainability: The pharmacy model is designed to be financially sustainable by optimizing medication utilization, managing costs, and utilizing reimbursement opportunities for specialty pharmacy services.
- Reimbursement: Many payers may limit reimbursement for specialty medications to prescriptions dispensed through accredited pharmacies, putting pressure on FQHCs to use them.
URAC Specialty Pharmacy Accreditation will support better patient outcomes, while enhancing your patient experiences and growing your FQHC's reputation and financial stability.
What To Expect
At URAC, our accreditation process is more than collecting metrics and checking boxes. URAC offers your pharmacy a collaborative, comprehensive learning experience, driven by your organization's specific needs.
Specialty Pharmacy Accreditation
Dispenses and distributes specialty medication and provides patient management services to patients taking a specialty medication.
*eligible for Rare Disease Certification
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