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What is Managed Care?

Our Faculty Advisors and Diplomats


Dr. Vinson Lee

PARX Consulting, Principal


Immediate Past President, California Pharmacists Association (CPhA)

USC Board of Governors

Axovant Sciences

Amgen: Director of Access and Reimbursement

USC School of Pharmacy, Faculty Member


Dr. Edward Lieskovan

PRL Pharma, President and CEO


USC School of Pharmacy, Adjunct Assistant Professor of Clinical Pharmacy


Dr. Michael Pazirandeh

Bristol-Myers Squibb, Associate Director, Health Economics and Outcomes Research


AMCP West Diplomat Regional Director

Senior Clinical Pharmacist, Blue Shield of California, Outcomes & Analytics

CVS Caremark Resident, Analytics and Outcomes


Dr. Kevin Wu

Blue Shield of California, Principal Pharmacist, Cost of Healthcare


Blue Shield of California, Pharmacy Resident

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Managed Care is defined as an organized health care delivery system designed to improve both the quality and accessibility of pharmaceutical care while containing costs. (Better care, better health, and lower costs). 


Managed care employs several techniques to achieve this, influencing medication use at the prescriber, pharmacy, and patient level. Health plans, pharmacy benefit managers, and integrated healthcare systems like Kaiser Permanente are traditional managed care organizations that drive policy and change from the top down, but managed care techniques are in every aspect of pharmacy. 


Pharmacists in traditional managed care roles can develop clinical programs in a health plan or hospital, work in drug utilization management, manage clients and negotiate and contract with pharma and pharmacies, work in analytics and outcomes research, manage formularies and specialty pharmacy, and much more!

The role of professionals

The role of professionals in Managed Care

Pharmacists, physicians, and nurses alike are integral parts of Managed Care Pharmacy and work to perform a number of tasks, including:

  • Monitor the safety and effectiveness of new drugs on the market    

  • Alert patients to potentially dangerous drug interactions    

  • Use medication therapy management practices to ensure patients receive the most appropriate therapies    

  • Develop and implement programs to improve medication adherence    

  • Ensure “medical-necessity” guidelines for the pharmacy benefits are consistent with evidence-based medicine and that exceptions are based on sound medical judgment    

  • Provide ongoing patient education and care coordination of medication therapy  

  • Use various evidence-based tools and incentives to keep the costs of prescription drugs under control.   

All of these practices, and more, aim to ensure that all patients have access to the pharmaceuticals they need and that the medications they take are improving their lives.  AMCP knows that our members have many stories illustrating the positive impact of managed care pharmacy on both communities and individuals.

Mission Statement

Our Mission Statement

AMCP’s mission is to empower its members to serve society by using sound medication management principles and strategies to improve health care for all.


Managed care pharmacy principles are based upon the use of scientific evidence to achieve healthy outcomes while making the best use of money spent on medications and their management.

Our vision is managed care pharmacy improving health care for all. AMCP aims to anticipate and serve the needs of our members in the provision of high-quality health care by embracing the following four core values: 

  • Credibility

  • Transparency

  • Collaboration

  • Innovation

Vision Statement

Vision Statement & Core Values


Examples of Managed Care Organizations:

Core values
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