Insurers Demand Clinical Oversight!How Do You Prove the Quality of Your Pharmacy Services?

URAC Sets the Industry Standard for Pharmacy Quality Validation.

Learn More About URAC Pharmacy Accreditation. Visit URAC.orgEmail us at info@urac.org or call us at (202) 326-3943

Pharmacy services are evolving rapidly with increased scrutiny. Partner with the industry leader to demonstrate your commitment to quality.

URAC’s independent, non-profit status is trusted to ensure quality and efficiency by federal and state regulators, insurers, and providers.

For 25 years, URAC has been a recognized leader in healthcare quality with 30+ accreditation products.

Over 300 pharmacy organizations have chosen URAC to validate their commitment to quality. Below are just a few...

● Specialty Pharmacy● Mail Service Pharmacy● Community Pharmacy

Six URAC Pharmacy Quality Management® Products

● Pharmacy Benefit Management● Workers’ Compensation PBM● Drug Therapy Management

Learn More About URAC Pharmacy Accreditation. Visit URAC.orgEmail us at info@urac.org or call us at (202) 326-3943

Organizational StructurePHARM Core 1 – Organizational StructurePHARM Core 2 – Organization Documents

Policies and ProceduresPHARM Core 3 – Policy and Procedure Maintenance, Review and Approval

Regulatory Compliance – [revised standard]PHARM Core 4 – Regulatory Compliance Program and Internal ControlsInter-Departmental CoordinationPHARM Core 5 – Inter-departmental Coordination

Oversight of Delegated FunctionsPHARM Core 6 – Delegation Review CriteriaPHARM Core 7 – Delegation ReviewPHARM Core 8 – Delegation ContractsPHARM Core 9 – Delegation Oversight

Marketing and Sales Communications [revised standard]PHARM Core 5 – Inter-departmental Coordination

Business RelationshipsPHARM Core 11 – Written Business AgreementsPHARM Core 12 – Client Satisfaction

Information ManagementPHARM Core 13 – Information ManagementPHARM Core 14 – Business Continuity/Emergency ManagementPHARM Core 15 – Information Confidentiality and SecurityPHARM Core 16 – Confidentiality of Individually-Identifiable Health

Staff Management PHARM Core 27 – Staff Education and Training ProgramPHARM Core 28 – Staff Operational Tools and SupportPHARM Core 29 – Staff Assessment ProgramInformation

Clinical Staff Credentialing and Oversight RolePHARM Core 17 – Quality Management ProgramPHARM Core 30 – Clinical Staff CredentialingPHARM Core 31 – Senior Clinical Staff RequirementsPHARM Core 32 – Senior Clinical Staff ResponsibilitiesPHARM Core 33 – Financial Incentive PolicyPHARM Core 34 – Access to ServicesPHARM Core 35 – Consumer Complaint Process

Health Care System Coordination PHARM Core 36 – Coordination with External Entities

Customer Service, Communications, and Disclosure (CSCD) CSCD 1 – Post-Enrollment Consumer Information RequirementsCSCD 2 – Ongoing Communication PracticesCSCD 3 – Disclosure on Refilling PrescriptionsCSCD 4 – Integration and Coordination with Existing BenefitsCSCD 5 – DisclosureCSCD 6 – Disclosure VerificationCSCD 7 – Ongoing Consumer SupportCSCD 8 – Telephone Performance MonitoringCSCD 9 – Telephone Performance MetricsCSCD 10 – Multiple Format Communication RequirementCSCD 11 – Communications ProcessCSCD 12 – Literacy and Culturally Appropriate CommunicationsCSCD 13 – Electronic Prescribing

Pharmacy Operations (PHARM-OP) PHARM-OP 1 – Pharmacy Operations: Scope of Services and Performance MetricsPHARM-OP 2 – Prescription Intake ProcessPHARM-OP 3 – Prescription Order Review and Verification by PharmacistPHARM-OP 4 – Product Preparation and Dispensing ProcessPHARM-OP 5 – Prescription Dispensing by PharmacistPHARM-OP 6 – ShippingCSCD 11 – Communications ProcessPHARM-OP 7 – Cold Chain Distribution: Process Controls and Monitoring SystemPHARM-OP 8 – Product Handling, Storage, and InventoryPHARM-OP 9 – Procurement and SupplyPHARM-OP 10 – Machine and Equipment MaintenancePHARM-OP 11 – Pharmacy Medication Claims ProcessingPHARM-OP 12 – Handling and Removal of Unacceptable MedicationsPHARM-OP 13 – Pharmacy OversightPHARM-OP 14 – Facility Safety and SecurityPHARM-OP 15 – Quality and Error Management in the FacilityPHARM-OP 16 – Compounding

Quality Management PHARM Core 17 – Quality Management ProgramPHARM Core 18 – Quality Management Program ResourcesPHARM Core 19 – Quality Management Program RequirementsPHARM Core 20 – Quality Management CommitteePHARM Core 21 – Quality Management DocumentationPHARM Core 22 – Quality Improvement ProjectsPHARM Core 23 – Quality Improvement Project RequirementsPHARM Core 24 – Quality Improvement Projects: Consumer Organizations

Consumer Protection and EmpowermentPHARM Core 37 – Consumer Rights and ResponsibilitiesPHARM Core 38 – Consumer Safety MechanismPHARM Core 39 – Consumer SatisfactionPHARM Core 40 – Health LiteracyPHARM Core 41 – Employment Background Screening

Patient Management (PM) PM 1 – Patient Centered StrategyPM 2 – Patient Management Program ServicesPM 3 – Additional Program CharacteristicsPM 4 – Program Development and ReviewPM 5 – Periodic Patient Reassessment ProcessPM 6 – Evidence-Based Research and PracticesPM 7 – Staff QualificationsPM 8 – Coordination of CarePM 9 – Informed Decision-Making with PatientsPM 10 – Communication and Education MaterialsPM 11 – Patient Management Integrated ApproachPM 12 – Participating Patient Rights and ResponsibilitiesPM 13 – Quality ImprovementPM 14 – Demonstrating Patient Management Program ValuePM 15 – Program Evaluation Outcomes ReportingPM 16 – Program Evaluation Methodology Disclosure

Measures Reporting RPT 1 – Reporting Mandatory Performance Measures to URACRPT 2 – Reporting Exploratory Performance Measures to URAC

Specialty Drug Management (SDrM) SDrM 1 – Roles and Responsibilities of PharmaciesSDrM 2 – Principles that Support Pharmacy ServicesSDrM 3 – Treatment Recommendations Based on Clinical DecisionsSDrM 4 – Prospective, Concurrent, and Retrospective Drug ManagementSDrM 5 – Drug Utilization Management ReportingSDrM 6 – Patient Safety Process Requirements

Specialty Pharmacy Accreditation, Version 3.0

Staff Qualifications PHARM Core 25 – Job DescriptionsPHARM Core 26 – Staff Qualifications