Acronyms Flashcards
AAC
Actual Acquisition Price
AMCP
Academy of Managed Care Pharmacy
AMP
Average Manufacturer Price
ASP
Average Selling Price
AWP
Average Wholesale Price
CDUR
Concurrent Drug Utilization Review
CMS
Centers for Medicare and Medicaid Services
COBRA
Consolidated Omnibus Budget Reconciliation Act
DUE
Drug Use Evaluation
DUR
Drug Utilization Review
EAC
Estimated Acquisition Cost
EOB
Explanation of Benefits
FDA
Food and Drug Administration
FFS
Fee-for-Service
FUL
Federal Upper Limit
HEDIS
Health Plan Employer Data and Information Set
HIPAA
Health Insurance Portability and Accountability Act
HMO
Health Maintenance Organization
HSAs
Health Spending Accounts
IPA
Independent Practice Association
MAC
Maximum Allowable Cost
MCOs
Managed Care Organizations
MTM
Medication Therapy Management
MUE
Medication Use Evaluation
NADAC
National Average Drug Acquisition Cost
NCPDP
National Council for Prescription Drug Programs
NCQA
National Committee for Quality Assurance
OBRA ’90
Omnibus Budget Reconciliation Act of 1990
PA
Prior Authorization
PBM
Pharmacy Benefit Manager
PMPM
Per-Member-Per-Month
PMPY
Per-Member-Per-Year
POS
Point-of-Service
PPO
Preferred Provider Organization
ProDUR
Prospective Drug Utilization Review
P&T
Pharmacy and Therapeutics
P4P
Pay for Performance
RetroDUR
Retrospective Drug Utilization Review
U&C
Usual and Customary Charge
WAC
Wholesale Acquisition Cost