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The CPA must specify the disease states, medications, conditions for notifying the provider, and the laboratory tests that the pharmacist can order. Pharmacists may monitor or modify a patient's drug treatment in accordance with the CPA, provided that the provider and pharmacist have a mutual patient-practitioner relationship with the patient. [25]
Express Scripts Holding Company is a pharmacy benefit management (PBM) organization. In 2017 it was the 22nd-largest company in the United States by total revenue as well as the largest pharmacy benefit management (PBM) organization in the United States. [2] Express Scripts had 2016 revenues of $100.752 billion. [2]
The pharmacy management system serves many purposes, including the safe and effective dispensing of pharmaceutical drugs. During the dispensing process, the system will prompt the pharmacist to verify the medication they have is for the correct patient and has the correct quantity, dosage, and information on the prescription label.
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Sales reps push new "follow on" or "me-too" drugs with free samples [11] [12] that are more expensive than existing generic drugs, such as Nexium which costs three times as much as its predecessor Prilosec, with no evidence of improved efficacy.
The American Society of Consultant Pharmacists (ASCP) is an international professional association that provides education, advocacy, and resources to advance the practice of senior care pharmacy, and that represents the interests of consultant pharmacists who work with elderly patients.
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