Nurses frequently interact with PBMs when dealing with medication authorizations, patient education, and medication adherence. PBMs impact nursing practice in several ways: - Medication Prior Authorization: Nurses often assist in obtaining prior authorization for medications that require approval from PBMs before being dispensed. - Formulary Management: Nurses need to be aware of the formulary lists managed by PBMs to ensure that prescribed medications are covered under a patient's plan. - Patient Education: Nurses educate patients about their medication coverage, potential out-of-pocket costs, and the importance of adhering to prescribed therapies.
