Five more street cred-itations Prime keeps on your behalf

March 14, 2017

Prime has also received full accreditation from URAC for its pharmacy benefit management, specialty and mail service pharmacies, the Accreditation Commission for Health Care (ACHC) for its specialty pharmacy, and the National Association of Boards of Pharmacy®’s (NABP®) Verified Internet Pharmacy Practice Sites® (VIPPS®) accreditation for its mail service pharmacy. Here are brief descriptions of those:

Accreditation Commission for Health Care (ACHC) uses a set of practical standards that promotes quality services and optimum care for the patient. The specialty pharmacy ACHC accreditation validates the quality of our specialty pharmacy programs. It positions Prime for meeting the Centers for Medicare & Medicaid Services’ (CMS) requirements related to billing for Medicare Part B. ACHC specialty pharmacy accreditation means that we have shown our dedication to ongoing and continuous compliance with ACHC's high standards of quality. 

For certain programs and services, CMS requires organizations to become accredited by an approved organization like ACHC before they are able to participate with Medicare. See more. 

URAC has developed evidence-based measures and standards through inclusive engagement from a range of stakeholders across the health care industry to control costs, raise quality, and improve overall health outcomes. 

  • URAC’s pharmacy benefit management accreditation standards facilitate transparency. They help make sure clients have a way to verify that financial disclosures are comprehensive and accurate. The PBM accreditation focuses on organizational structure, quality programs, member experience, clinical programs and utilization management.

Customer service and communication are key elements of URAC’s standards, which provide for ongoing communications (in multiple formats) and communication safeguards. URAC’s standards help accredited organizations focus formulary decisions on the safety, efficacy and therapeutic need for drugs first and focus on cost only after these considerations are met. See more.

  • URAC’s specialty pharmacy accreditation helps specialty pharmacies demonstrate their value in delivering specialized clinical services. Many payers and manufacturers recognize the URAC specialty pharmacy accreditation as a key differentiator and independent validation of quality. They often include this accreditation as a requirement to participate in their network. URAC’s specialty pharmacy accreditation is an indication that members receive high quality specialty medications and support from Prime’s skilled clinicians to help them manage their complex medical needs. See more.
  • URAC mail service pharmacy accreditation verifies that Prime has quality operations for dispensing and delivering medications safely to our members so drug therapy is not interrupted. This accreditation covers core organizational quality, customer service, communications and disclosure, drug utilization management, pharmacy operations, and a process for mail service outcomes measurement and quality improvement. See more.

The National Association of Boards of Pharmacy (NABP) recognizes the need to help safe and legitimate pharmacies with an internet presence stand out against the ever-growing list of rogue websites.  For example, the NABP’s Verified Internet Pharmacy Practice Sites (VIPPS) program helps members identify Prime as a safe and legitimate pharmacy on the Internet.1 VIPPS provides accreditation for pharmacies that dispense prescription drugs via the internet. With 20 new illegal pharmacies appearing on the Web each day, the VIPPS Seal is a key benchmark for quality online pharmacies that consumers can click to access information that verifies the safety and legitimacy of the website.

To display the VIPPS Seal, Prime’s mail service must comply with the licensing and inspection requirements of its state and each state to which it dispenses pharmaceuticals. See more.

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