DoD Pharmacoeconomic Center 1 TMA DoD Pharmacoeconomic Center Fort Sam Houston, TX MTF Quarterly Webcast LTC Stacia Spridgen Director, DoD Pharmacoeconomic Center

DoD Pharmacoeconomic Center 2 Introduction Greetings from the PEC Purpose of the Quarterly MTF Webcast DCO Ground Rules –Type questions into DCO system –Put on mute, not on hold -Contingency plan if DCO system quits working

DoD Pharmacoeconomic Center 3 Review of P&T Activities Dr David Meade, PharmD, BCPS LtCol (Ret), BSC, USAF Director, Clinical Operations

DoD Pharmacoeconomic Center Nov 09 P&T Meeting 4 Designated NF – DrugImplementation – Interferon Beta-1b Injection (Extavia) 60days – Bupropion HBr ER tabs (Aplenzin)60 days – Milnacipran tabs (Savella) 60 days – Oxybutynin Topical Gel (Gelnique) 60 days – Tapentadol tabs (Nucynta) 60 days – Tramadol ER tabs (Ryzolt) 60 days – Tadalafil tabs (Adcirca) 60 days Designated as Formulary – Sildenafil tabs (Revatio 20 mg) – Bupropion HCl ER tabs (Wellbutrin XL, gen) – Valsartan/Amlodipine/HCTZ tabs (Exforge HCT)

DoD Pharmacoeconomic Center Feb 10 P&T Meeting 5 Removed from the BCF –Hydrocodone/Acetaminophen 5 mg/500 mg –Telmisartan +/- HCTZ (Micardis, Micardis HCT) Added to the BCF –levonorgestrel 0.75 mg (Next Choice; generic Plan B)

DoD Pharmacoeconomic Center May 10 P&T Meeting 6 Insulins Basal Insulins –Pens and vials Other Insulins –Novo retained national contract –Pens and vials – BCF determination at next meeting Clotting Factors New Drugs: Embeda, Intunive, Twynsta, Edular, Valturna House Keeping –PDE-5 Inhibitors for ED – PA criteria for post-prostatectomy use –Exenatide (Byetta) – PA Criteria –Sumatriptan injection (Sumavel dose-pro) – QLs BAP : 25 March – Minute Signing: Mid April

DoD Pharmacoeconomic Center May 10 P&T Meeting Lip1 –Statins –Stain Combos –Niacin –Niacin Combos New Drugs in Already Reviewed Class –Onsolis –Sumavel BPH – Flomax generic – Step therapy

DoD Pharmacoeconomic Center 8 CD-MART Hector Morales Deputy Director, TMA Pharmacy Operations Center

DoD Pharmacoeconomic Center Controlled Drug Management, Analysis and Reporting Tool (CD-MART) Scope Automated tool to assist providers in analyzing controlled prescription usage Menu-driven, Microsoft Access database with pre-set filtering parameters The Pharmacy Data Transaction Service (PDTS) is the data source 9

DoD Pharmacoeconomic Center Controlled Drug Management, Analysis and Reporting Tool (CD-MART) Target Population Focus on beneficiaries enrolled to specific MTF, includes all enrollment locations under the MTF commander Data from within the MTF’s 40- mile catchment area or all of the Department of Defense (DOD). All points of service controlled substances 10

DoD Pharmacoeconomic Center Controlled Drug Management, Analysis and Reporting Tool (CD-MART) Pre-Set Parameters Four parameters which are local criteria based Number of Prescriptions (RXs), Pharmacies, Providers and Total Quantity Tablets/Capsules. User manipulates the parameters to produce a specific report 11

DoD Pharmacoeconomic Center Controlled Drug Management, Analysis and Reporting Tool (CD-MART) Report Manipulation Setting parameters produces any one of the following reports or combinations there of : All patients with more than “n” controlled substance prescriptions All patients with controlled substance prescriptions from more than “n” pharmacies All patients with controlled substance prescriptions from more than “n” providers All patients with controlled substance prescription quantities exceeding “n” tablets/capsules Export to Excel report one patient or for all patients 12

DoD Pharmacoeconomic Center How To Order a CD-MART ask for a DMT member or 13

DoD Pharmacoeconomic Center 14 Website Dr Jeremy Briggs, PharmD Industry Liaison

DoD Pharmacoeconomic Center Old Webpage 15

DoD Pharmacoeconomic Center New Webpage 16

DoD Pharmacoeconomic Center Military Treatment Facility (MTF) Information 17

DoD Pharmacoeconomic Center Basic Core Formulary 18

DoD Pharmacoeconomic Center Tables are sortable 19

DoD Pharmacoeconomic Center To Export Table Information 1. left click and highlight desired fields 2. Right click and copy 3. Paste into Excel 20

DoD Pharmacoeconomic Center Excel 21

DoD Pharmacoeconomic Center Finding Information on a Webpage 22

DoD Pharmacoeconomic Center Find 23

DoD Pharmacoeconomic Center Find 24

DoD Pharmacoeconomic Center Quantity Limits, Prior Authorizations and Medical Necessity Criteria & Forms 25

DoD Pharmacoeconomic Center TRICARE Pharmacy Forms and Criteria Note: All fields with cross symbol are sortable. 26

DoD Pharmacoeconomic Center PEC Contact Info (DSN ) –For PEC Clinical Staff, ASK 4 PEC ( ) –Pharmacy Operation Center Website issues Questions, assistance with PDTS, Business Objects Clinical, Formulary questions 27