Operational Support

The operations team at UMass Medical School’s Clinical Pharmacy Services provides the structure and day-to-day support necessary to enhance your pharmacy program’s capacity for improving care while containing costs.

• Appeals Management 
  Our coverage decisions stand up to scrutiny of appeals because they’re evidence-based. Our team represents you fully during every stage of the process.
• Clinical Call Center Operation and Management
  Registered pharmacists and pharmacy associates staff our call centers — answering questions and processing prior authorization requests from thousands of pharmacists and physicians each year. 
• Prior Authorization Review
  Our registered pharmacists review prior authorization requests within 24 hours of receipt, 365 days a year. 
• Clinical Guideline Development
  Proactively monitoring clinical developments — and working closely with you — we develop clinical guidelines that meet your unique needs. 
• Formulary Management
  We base our formulary management recommendations on our in-depth safety, efficacy, and cost analyses.
• Quality Assurance Analysis
  We provide continuous review of the clinical guidelines we develop for all our programs.