Introduction to
P&T Competition
OSU AMCP General Body Meeting 09/09/13
Announcements
● Today at Midnight is the deadline for P1
Liasion! Questions? Ask Jorge
● Thursday during Pro Hour Christine will be
discussing service opportunities!
● Sign up to order Nametags and Thank You
Cards either with the link in the newsletter
or through an officer
Managed care
What is Managed Care?
• Maximize health outcomes while minimizing costs
o Which one drug will WORK BEST vs. which 500 drugs will
SIMPLY WORK
• Application of specific treatment guidelines and
evidence-based medicine to entire patient
populations
o Ex. Beta blockers and theoretically reduced risk for
cardiovascular events
• Huge databases of information used by hospitals,
insurance companies, and the government (ex. CMS,
VA)
o May use database to say to a primary care physician, “based on
patient demographic and health history information and
information you transmitted regarding present illness, the
numbers suggest there is a better drug treatment option”
Where does Managed Care
happen?
• Insurance companies – specifically PBMs
o Set formulary – what drugs are covered
o Determine coverage levels and tiering
o Determine place in treatment (first line drug OR only
after first line treatment failure)
• Hospital P&T committees
o Set formulary – what will drugs are carried
o Ex. Mt. Carmel and Kcentra™ – a new drug for the
urgent reversal of VitK antagonist therapy
• Community pharmacy
o Prior Authorization, Step Therapy, Refill Too Soon,
Quantity Limitats
So THAT is what Managed
Care is?!?
o May sound like corporate greed or government death
panels, AND:
o Managed Care is often vilified, BUT:
o Responsibility to make sure that resources are
not wasted
o Ex. patients receiving cosmetic prescriptions at no
charge, when another patient cannot afford
o Every time you spend money on one patient, you lose
money that then cannot be spent on another patient
Who and what is involved in
Managed Care?
• People – doctors, researchers, statisticians,
economists, and PHARMACISTS like:
o Mark Pilkington – Vice President of Strategic Sourcing and
Product Management at Cardinal Health
o Brian Lehman – Pharmacy Benefits Manager at OPERS;
previously OSU Health Plan
o Amanda Bain – Treasurer of Ohio & Kentucky AMCP
o Paige Stewart – managed care resident from Kaiser
Permanante, now at OSU
• Informatics
o Think about how Bing, Amazon, and Facebook advertise
information, products, and friends
• Research – medical, economic, statistical posthoc analysis
Why is Managed Care the
future?
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•
•
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Costs are too high
Outcomes are subpar
Current FDA approval process only requires new drugs
show superiority over placebo
Currently implemented at insurance/institutional level, but
SOON:
Governmental Patient-Centered Outcomes Research
Institute (PCORI)
o It is not unrealistic to expect outcomes and comparative
effectiveness to eventually impact drug approval
Politically, no one disagrees that we need to do more with
less
What is P&T Competiton?
● P&T = Pharmacy & Therapeutics
● Students will form a group to act as P&T committee
○ Review clinical literature
○ Evaluate economical factors
○ Understand disease state, drug info
○ Make comprehensive formulary decision
● Great chance to
○ Improve skills: critical thinking, literature evaluation,
research and presentation
○ Team-up with PharmD students in other years
○ Earn elective credits, awards, etc.
P&T Comittee is...
● A group of people that meets together to
promote “safe, effective, and cost-effective
drug therapy”
Primarily physicians and pharmacists
○ Develop policies regarding drug selection, evaluation,
and utilization
○ Educate practioners on drugs and appropriate drug
utilization
○ Manage the development and maintainance of the
organization’s drug formulary
○
Information referenced from P&T competition-How to guide, AMCP
Where do P&T comittee exist?
● Any organization that maintains a drug
formulary
Hospitals
○ Insurance company & health plans
○ Pharmacy Benifit Manager (PBM)
○ VA and military
○ Government
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Information referenced from P&T competition-How to guide, AMCP
P&T Competition
Requirments
● Work in a group of 4 members
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All must be AMCP members!!
Follow team formation rules
● Complete the following tasks
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Compose a drug monograph (20 pages max.)
Present your formulary decision to judges (30 min
presentation with 30 min Q&A)
Submit all required materials ON TIME!
Here’s your reward--
• 2 elective credits
• Represent OSU chapter to compete at
national meeting
o All traveling expenses covered
o $cholar$hips
o Networking with national leaders of AMCP
• CV/resume enhancement
• Hot kisses from Kevin (optional)
P&T Competition Timeline
● Fall 2013
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Sign-up a team
Review eDossier & research
Meet with team member regularly
● Spring 2014
Submit drug monograph
○ Presentation
○ Award Ceremony
○ National Competition
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Fall 2013: Sign-up a Team
● Team Formation rules
1. Must be 4 AMCP student members
2. Previous participants +1 year
3. Maximum year total is 9
4. Approved by AMCP P&T Competition
comittee
● Deadline: 11/1/2013
Fall 2013: Review eDossier
● eDossier will be released in October
● All participants will have an access to FMCP
student P&T competition eDossier system
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eDossier
monograph template
usuful tools
● DI & literature evaluation lectures available
Fall 2013: Meet your team
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Communication
Allocation
Cooperation
No procrastination!
● Use Thanksgiving and winter break wisely
Spring 2014: Submit
monograph
● Deadline: mid-January 2014
● Monograph - 20 pages max
Formulary decision
○ Evidence evaluation (clinical trials)
○ Economical models (5 pages max, if any)
○ Background information: DI, disease state
○ Team assignments
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Spring 2014: Presentation
● Time: end of January 2014 (TBD)
● Presentation:
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30 slides max
Handouts (optional): 5 pages max
30 minutes presentation
30 minutes Q&A
Spring 2014: Award
Ceremony
● Time: February 2014 (TBD)
● Award Ceremony
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Reveal our winners!
Food & Social
Special guest speaker
Spring 2014: National
Competition
● Time: April 2-4 2014 in Tampa, FL
● Benefits
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Traveling expenses covered
Special trips
$2000 prize to 1st place team, $1500 2nd place,
$1000 3rd place
Honor and self-achievement
Tips to success
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Start early
Team work
Ask questions
Enjoy the competition
Questions?
● Contact us!
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P&T chair: Kevin Chang.1064
AMCP president: Vanessa Copeland.225
Join AMCP Today!