1. Introduction to P&T Competition
OSU AMCP General Body Meeting 09/09/13

2. 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

3. Managed care

4. What is Managed Care? Maximize health outcomes while minimizing costs
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
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)
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”
Cool, everyone is all for better outcomes and spending less money – but how many work in retail? How many have ever wondered, “does the doctor know how much this costs!?” “Does the patient know how much this drug costs before insurance?!” – RIGHT! So we need to do better, maybe have someone intervene and say “hey – what you’re doing is really expensive and there might be a more cost effective option.”
Block beta-adrenergic receptors in heart and blood vessels to relax smooth muscle and reduce blood pressure; but why is high blood pressure bad? Surrogate for cardiovascular events – new evidence is showing that beta blockers are not the best for reducing risk, even though they are great at reducing blood pressure – MANAGED CARE GOAL – achieve the final outcome, not a surrogate
How do you practice evidence-based medicine? Use large data sets and statistics to analyze what is working and what isn’t. It makes sense that large organizations (hospitals, insurance companies, government through CMS) are in the best position to enforce evidence-based medicine; they have access to vast amounts of data relating to their patients, as opposed to a single primary care physician.

5. Where does Managed Care happen?
Insurance companies – specifically PBMs
Set formulary – what drugs are covered
Determine coverage levels and tiering
Determine place in treatment (first line drug OR only after first line treatment failure)
Hospital P&T committees
Set formulary – what will drugs are carried
Ex. Mt. Carmel and Kcentra™ – a new drug for the urgent reversal of VitK antagonist therapy
Community pharmacy
Prior Authorization, Step Therapy, Refill Too Soon, Quantity Limitats

6. So THAT is what Managed Care is?!?
May sound like corporate greed or government death panels, AND:
Managed Care is often vilified, BUT:
Responsibility to make sure that resources are not wasted
Ex. patients receiving cosmetic prescriptions at no charge, when another patient cannot afford
Every time you spend money on one patient, you lose money that then cannot be spent on another patient
PA’s and Refill To Soon?!? – no thanks, not for me
BUT: when we become stewards of pooled resources, it is our responsibility…

7. Who and what is involved in Managed Care?
People – doctors, researchers, statisticians, economists, and PHARMACISTS like:
Mark Pilkington – Vice President of Strategic Sourcing and Product Management at Cardinal Health
Brian Lehman – Pharmacy Benefits Manager at OPERS; previously OSU Health Plan
Amanda Bain – Treasurer of Ohio & Kentucky AMCP
Paige Stewart – managed care resident from Kaiser Permanante, now at OSU
Informatics
Think about how Bing, Amazon, and Facebook advertise information, products, and friends
Research – medical, economic, statistical post- hoc analysis

8. 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)
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

9. 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.

10. 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

11. 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

12. 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!

13. Here’s your reward-- 2 elective credits
Represent OSU chapter to compete at national meeting
All traveling expenses covered
$cholar$hips
Networking with national leaders of AMCP
CV/resume enhancement
Hot kisses from Kevin (optional)

14. 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

15. Fall 2013: Sign-up a Team Team Formation rules
Must be 4 AMCP student members
Previous participants +1 year
Maximum year total is 9
Approved by AMCP P&T Competition comittee
Deadline: 11/1/2013

16. 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

17. Fall 2013: Meet your team Communication Allocation Cooperation
No procrastination!
Use Thanksgiving and winter break wisely

18. 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

19. Spring 2014: Presentation Time: end of January 2014 (TBD)
30 slides max
Handouts (optional): 5 pages max
30 minutes presentation
30 minutes Q&A

20. Spring 2014: Award Ceremony
Time: February 2014 (TBD)
Award Ceremony
Reveal our winners!
Food & Social
Special guest speaker

21. Spring 2014: National Competition
Time: April 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

22. Tips to success Start early Team work Ask questions
Enjoy the competition

23. Questions? Join AMCP Today! Contact us! P&T chair: Kevin Chang.1064
AMCP president: Vanessa Copeland.225
Join AMCP Today!