Academy of Managed Care Pharmacy P4 student perspective Jina Park The Ohio State University PharmD Candidate 2014

Background  Bachelor of Science in Pharmaceutical Sciences (BSPS)  Economics minor  Worked at Kroger Pharmacy during undergrad  Did not want to do retail or hospital… what’s left for me?  Managed care  Industry  PharmD/MBA

Why did I choose Managed Care?  Non-traditional pharmacy practice  My interest in Economics/ Business  Undergrad: Economics minor  PharmD: marketing, operational management  Experience at retail and other clinical settings taught me:  Best clinical practices don’t always mean the most cost-effective therapy  How do we balance the best clinical practice and the cost?  If health plans do not cover certain drugs, patients will not be able to take the medications  Inefficient US health care system  Decisions that impact large population not individuals  Focus on big picture

What is Managed Care? Where can I work?  Based on clinical and economical data  Make decisions on formulary management  Cost control techniques -> prior authorization, quantity limit  Think of pseudoephedrine  As a managed care pharmacist… you can work at:  Pharmacy Benefit Manager (PBM) – Express Scripts, Caremark, OptumRx  Health Plans – Aetna, Blue Cross Blue Shield, United Health  Pharmaceutical Companies in Health Outcomes, Medical Affairs, Marketing  Consulting – Burchfield group, Excenda  Government – Value-based care, comparative effectiveness research (CER)  Hospital – Formulary management

My involvement & Work experience  AMCP  P1 liaison, President-Elect, President  First to coordinate FF4M with APhA  P&T competition as a P1, P2  Coordinated P&T competition as a P3  University-level committee  OSU student health insurance committee  Work  Kroger Pharmacy Intern  Medco (now Express Scripts) summer 2011  OSU health plan summer 2012  AMCP/FMCP/Allergan Internship summer 2013

AMCP/FMCP/Allergan Summer Internship 2013  2 students per year  AMCP pays…  For hotel, flight, rental car, stipend during the internship  For hotel, flight, registration fee for educational conference 2013  Present research project / poster  2-year free membership with AMCP  Become part of AMCP/FMCP internship alumni group  Networking opportunities  Amanda Bain 2005, Elizabeth Chang 2009  Networking opportunities within the company  Supervised under Vice President of Health Outcomes in Allergan  Meetings with Vice President of Medical Affairs, Marketing, Government Affairs, Research and Development, etc etc…  Networking opportunities with OptumRx  Director of residency, past & current residents

AMCP/FMCP/Allergan Summer Internship 2013  Projects  Intrathecal Baclofen Systematic Literature Review  General spasticity, orphan drug  Clinical, humanistic, complication, cost data  Compare to pipeline drug  89-page internal document with charts  Abstract, Poster  BOTOX ® Differentiation Project  Scientific evidence for its superiority among neurological toxins  Reviewed AMCP dossiers, global value dossiers (GVDs)  Learn the process involving putting drugs on medical policy  Medicare, Medicaid, BCBS, United Health, Aetna  Marketing / Commercial team  Research on orphan drugs

AMCP/FMCP/Allergan Summer Internship 2013  Learning  How health economics play a big role in developing drugs  Compare efficacy & cost data to already existing therapy  No superiority -> pipeline drug killed  Superiority -> continue development  Decisions are made even before phase 1  80% Pharmacist 20% PhDs  A lot of interaction with marketing, commercial team  My preceptor made strategy decisions on  Development of pipeline drugs  Marketing strategies/ materials for existing drugs  Learn the process involving putting drugs on formulary from pharmaceutical industry perspective  Learn the formulary management process at OptumRx (PBM)

Opportunities  Leadership  Chapter  National -> Vimal  Applications due in Oct-Nov  Internships  FMCP/AMCP/Pfizer  FMCP/AMCP/Allergan  FMCP/AMCP/Genetech  AMCP/Univ of Minnesota/Burchfield group  Applictions are due in Jan-Feb  Conferences  Educational -> usually Oct  National -> usually April

P&T Competition***  Local / National  Teams of 4  Real life experience of formulary management  Evaluating cases clinically  Evaluating pharmacoeconomics  Clinical knowledge & health economics  Benefits?  Great networking opportunities  Experience for your CV  Class credits!