Introduction to P&T Competition

OSU AMCP General Body Meeting 09/09/13

Announcements

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Managed care

What is Managed Care?

• Maximize health outcomes while minimizing costso 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 populationso 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 coveredo Determine coverage levels and tieringo Determine place in treatment (first line drug OR

only after first line treatment failure)

• Hospital P&T committeeso Set formulary – what will drugs are carriedo Ex. Mt. Carmel and Kcentra™ – a new drug for the

urgent reversal of VitK antagonist therapy

• Community pharmacyo 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 wastedo 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 Healtho Brian Lehman – Pharmacy Benefits Manager at OPERS;

previously OSU Health Plano Amanda Bain – Treasurer of Ohio & Kentucky AMCPo Paige Stewart – managed care resident from Kaiser

Permanante, now at OSU

• Informaticso Think about how Bing, Amazon, and Facebook advertise

information, products, and friends

• Research – medical, economic, statistical post-hoc analysis

Why is Managed Care the future?• 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 student pharmacist comittee

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

Information referenced from P&T competition-How to guide, AMCP student pharmacist comittee

P&T Competition Requirments● Work in a group of 4 members

○ All must be AMCP members!!○ Follow team formation rules

● Complete the following tasks○ 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 meetingo All traveling expenses coveredo $cholar$hipso Networking with national leaders of AMCP

• CV/resume enhancement

• Hot kisses from Kevin (optional)

P&T Competition Timeline● Fall 2013

○ Sign-up a team○ Review eDossier & research○ Meet with team member regularly

● Spring 2014○ Submit drug monograph○ Presentation○ Award Ceremony○ National Competition

Fall 2013: Sign-up a Team● Team Formation rules

1.Must be 4 AMCP student members2.Previous participants +1 year3.Maximum year total is 94.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○ eDossier○ monograph template○ usuful tools

● DI & literature evaluation lectures available

Fall 2013: Meet your team● 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

Spring 2014: Presentation● Time: end of January 2014 (TBD)

● Presentation:○ 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○ Reveal our winners!○ Food & Social○ Special guest speaker

Spring 2014: National Competition● Time: April 2-4 2014 in Tampa, FL

● Benefits○ Traveling expenses covered○ Special trips ○ $2000 prize to 1st place team, $1500 2nd

place, $1000 3rd place○ Honor and self-achievement

Tips to success

● Start early● Team work● Ask questions● Enjoy the competition

Questions?

● Contact us!○ P&T chair: Kevin Chang.1064 ○ AMCP president: Vanessa Copeland.225

Join AMCP Today!