Pharmacy Director. The MCO must have a Pharmacy Director who is a registered pharmacist in the state of Ohio with experience in state and federally funded health care programs, preferably with pharmacy benefit management experience. The primary roles and responsibilities of the Pharmacy Director include: Overseeing the MCO's responsibilities related to pharmacy benefits; Coordinating with the SPBM; Coordinating with ODM to provide input in the review of new drugs to market, changes to ODM's Preferred Drug List, and ODM's/SPBM's prior authorization criteria for pharmacy benefits; Overseeing the MCO's medication therapy management programs; Monitoring, managing, and coordinating the care of the MCO's members as it relates to utilization of prescription drugs (e.g., Coordinated Services Program, use of antipsychotics in children); and Participating in the Pharmacy and Therapeutics Committee, the Drug Utilization Review Committee, the Drug Utilization Review Board, and any other committee or board as requested by ODM.
Appears in 4 contracts
Samples: Ohio Medicaid Provider Agreement for Managed Care Organization, Ohio Medicaid Provider Agreement for Managed Care Organization, Ohio Medicaid Provider Agreement for Managed Care Organization
Pharmacy Director. 1. The MCO must have a Pharmacy Director who is a registered pharmacist in the state of Ohio with experience in state and federally funded health care programs, preferably with pharmacy benefit management experience.
2. The primary roles and responsibilities of the Pharmacy Director include: Overseeing the MCO's responsibilities related to pharmacy benefits; Coordinating with the SPBM; Coordinating with ODM to provide input in the review of new drugs to market, changes to ODM's Preferred Drug List, and ODM's/SPBM's prior authorization criteria for pharmacy benefits; Overseeing the MCO's medication therapy management programs; Monitoring, managing, and coordinating the care of the MCO's members as it relates to utilization of prescription drugs (e.g., Coordinated Services Program, use of antipsychotics in children); and Participating in the Pharmacy and Therapeutics Committee, the Drug Utilization Review Committee, the Drug Utilization Review Board, and any other committee or board as requested by ODM.
Appears in 1 contract
Samples: Ohio Medicaid Provider Agreement
