Third-Party Payer Considerations

About the Author Dr. Urmie is an Assistant Professor in the Clinical and Administrative Pharmacy Division at the University of Iowa College of Pharmacy. She received a B.S. in pharmacy from the University of Wisconsin and worked as a community pharmacist prior to returning to the University of Wisconsin for graduate school, where she received an M.S. in pharmacy administration and a Ph.D. in social and administrative sciences in pharmacy. Her teaching interests include insurance and reimbursement in pharmacy, health insurance, the U.S. health care system, and pharmacy management. Her main areas of research are prescription drug insurance and consumer preferences related to health care use. 

After completing this chapter, students should be able to 

Discuss the history of third-party reimbursement for prescription drugs and its impact on pharmacy management. 

Evaluate the financial impact of third-party reimbursement on the pharmacy using an average net profit comparison, a differential analysis, and a pro forma analysis. 

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