Prior authorization, drug shortages, formulary barriers — the system makes access hard. This makes it navigable.
Prior authorization, drug shortages, pharmacy deserts, step therapy, formulary barriers — the entire care team faces them every day. MedAccessCE™ gives prescribers, nurses, and health system leaders the exact tools, templates, and frameworks to cut through the barriers and give every patient their best shot at getting the medications they need.
Enroll individually in the RN or Prescriber certificate course (one-time fee, 365-day access), or license the course for your entire health system (annual, per-provider). The Clinical Operations Package is a separate point-of-care reference tool, available individually or by site license.
Built and owned by a practicing PharmD. No payer, PBM, drug manufacturer, or EHR vendor has any ownership, licensing, or revenue stake in this resource — so the guidance in it answers to your patient, not to anyone's bottom line.
Patients first. Always.
See the curriculum firsthand.
In Module 0 — U.S. Prescription Drug Chain — you'll trace the path a drug takes from discovery to the pharmacy counter: the players who move it, who owns whom, and the software that gates access.
Opens on Thinkific — our course platform. Free, no credit card.
What clinicians don't know is costing patients.
Percentage of surveyed clinicians who reported being unfamiliar with each topic.
Never received formal training on medication access barriers.
13 of 17 clinicians surveyed in a 2026 regional needs assessment — Kansas & Missouri. Prior authorization, drug shortages, formulary barriers — the tools exist. The training doesn't.
uncomfortable navigating medication access tools at the point of care
8 of 17 surveyed
do not routinely screen patients for cost or coverage barriers
7 of 17 surveyed
Medicare Part D $2,100 out-of-pocket cap (eff. Jan 2026)
76.5%$35/month Medicare insulin cap — who it covers
76.5%What a PBM is and how it affects patient costs
64.7%Expanded access / compassionate use
58.8%How recent legislation impacts medication access
47.1%How prior authorization works and what happens when denied
35.3%What a clinical trial is and that study drugs are typically free
29.4%Preliminary regional needs assessment. Not a national study.
Full survey findings →- 1.American Medical Association. 2025 AMA Prior Authorization Physician Survey. Chicago, IL: AMA; 2026.
- 2.Pollitz K, et al. Prior Authorization in Medicare Advantage. KFF analysis of CMS Medicare Advantage data; 2023.
- 3.Viswanathan M, et al. Medication Adherence Interventions: Comparative Effectiveness. Rockville, MD: Agency for Healthcare Research and Quality; 2012. PMC3234383. CDC and Duke Health cross-reference this figure: 125,000 preventable deaths and 10% of hospitalizations annually attributable to medication non-adherence.
Why this isn't like other PA tools
Most tools in this space automate one task, cover one drug, or come from a company with a stake in the outcome. Here's what actually sets MedAccessCE™ apart — line by line.
| Typical PA / access tool | MedAccessCE™ | |
|---|---|---|
| Scope | One drug, one condition, or one automation task | Full landscape — PA, shortages, pharmacy deserts, rare disease, coverage gaps — in one place |
| Who built it | Software vendor, manufacturer, or PBM-adjacent company | A practicing PharmD educator with 30+ years frontline experience — no vendor, no manufacturer |
| Financial stake | Often tied to approval/denial volume, licensing fees from payers, or drug placement | None. No ownership, licensing, or revenue relationship with any payer, PBM, manufacturer, or EHR vendor |
| What you get | Automates a form or workflow step | Trains and equips the clinician — smart phrases, scripts, and templates you use immediately |
| Currency | Updated when the vendor gets to it | Updated twice yearly on a set schedule, tied to policy change |
Typical tool
One drug, one condition, or one automation task
MedAccessCE™
Full landscape — PA, shortages, pharmacy deserts, rare disease, coverage gaps — in one place
Typical tool
Software vendor, manufacturer, or PBM-adjacent company
MedAccessCE™
A practicing PharmD educator with 30+ years frontline experience — no vendor, no manufacturer
Typical tool
Often tied to approval/denial volume, licensing fees from payers, or drug placement
MedAccessCE™
None. No ownership, licensing, or revenue relationship with any payer, PBM, manufacturer, or EHR vendor
Typical tool
Automates a form or workflow step
MedAccessCE™
Trains and equips the clinician — smart phrases, scripts, and templates you use immediately
Typical tool
Updated when the vendor gets to it
MedAccessCE™
Updated twice yearly on a set schedule, tied to policy change
PharmD, CCRC
Founder & Author
Built by a pharmacist who lived the access fight.
Jacqueline S. Marinac, PharmD, CCRC spent years watching patients lose access to medications they needed — not because the drugs didn't exist, but because no one on the care team had the tools to fight back. Prior authorizations denied. Drug shortages unnavigated. Formulary barriers left standing.
MedAccessCE™ is the curriculum she wished existed — built for the prescribers and nurses who are already doing the work, and need the knowledge to do it better.
Patients first. Always.
Clinical training built for the access fight
Medication Access in America: Navigating the System — Prescriber Track
A 12-module curriculum covering the full landscape of medication access — from PBM structures and payer dynamics to drug shortages, rare disease funding, and the prescriber as patient advocate.
Enroll on ThinkificMedication Access in America: Navigating the System — RN Track
The same rigorous 12-module curriculum adapted for the nursing role — equipping RNs with the knowledge and tools to advocate for patient access at every point of care.
Enroll on ThinkificAlso available: point-of-care reference tool
Clinical Operations Package
Prior authorizations, drug shortages, pharmacy deserts, rare disease funding gaps — every barrier covered in one place, with ready-to-use smart phrases and twice-yearly updates. Available individually or by site license.
Everything you need to navigate the system.
The cost of fixing this:
Minutes per patient.
The cost of not fixing it:
Hours per clinician, thousands per patient, thousands of lives annually.
Which one are you choosing?
Ready to enable your clinicians and staff to beat the system?
Explore the courses on Thinkific or contact us about enterprise licensing for your health system. Note: These are educational contact hours, not accredited CE credit. Built for clinicians and staff who want deeper knowledge for real practice change today, not relicensure requirements.