Pharmacy Manager. Individual shall be a pharmacist licensed by the NH Board of Pharmacy and will have five years’ pharmacy experience as a practicing pharmacist. The individual will be responsible for all pharmacy activities, including but not limited to the Lock-In Program, coordinating clinical criteria for Prior Authorizations, compliance with the opioid prescribing requirements outlined in Section 4.11.6 (Substance Use Disorder) and overseeing the Drug Utilization Review (DUR) Board or the Pharmacy and Therapeutics Committee.
Pharmacy Manager. The MCO must employ a Pharmacy Manager dedicated full-time to the Hoosier Healthwise program. This individual will represent the MCO at the State’s Drug Utilization Review (DUR) Board meetings, participate on the MCO’s internal pharmacy therapeutics committee, and interface with the MCO’s pharmacy benefits manager (PBM), the State’s PBM and monitoring contractor. The pharmacy manager, in close coordination with other key staff, is responsible for ensuring all of the MCO’s pharmacy operations are in compliance with the terms of the MCO’s contract with the State. The MCO must provide written notification to OMPP’s Managed Care Director of anticipated vacancies of key staff within five business days of receiving the key staff person’s notice to terminate employment or five business days before the vacancy occurs, whichever occurs first. At that time, the MCO must present OMPP’s Managed Care Director with an interim plan to cover the responsibilities created by the key staff vacancy. Likewise, the MCO must notify OMPP’s Managed Care Director within five business days after a candidate’s acceptance to fill a key staff position or five business days prior to the candidate’s start date, whichever occurs first. HOOSIER HEALTHWISE STATE/MCO CONTRACT CONTRACT ATTACHMENT 1: MCO SCOPE OF WORK All key staff must be accessible to OMPP and its other program subcontractors via voicemail and electronic mail systems. As part of its annual Quality Management and Improvement Plan, the MCO must submit to OMPP an updated organizational chart including e-mail addresses and phone numbers for key staff.
Pharmacy Manager. Note: There is no requirement to send in individual service agreements unless your pharmacy is signing up to a new or revised service. Primary Care Contracts Team
