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The Importance of P&T in Pharmacy

The Importance of P&T in Pharmacy. Shawn Davis, PharmD , MBA Director, Clinical Solutions. Background. Internships Doctor of Pharmacy MBA . Professional Experience. Healthcare and Pharmacy – Continuous Change. Novel Therapies Affordable Care Act Americans access to care

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The Importance of P&T in Pharmacy

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  1. The Importance of P&T in Pharmacy Shawn Davis, PharmD, MBA Director, Clinical Solutions

  2. Background • Internships • Doctor of Pharmacy • MBA

  3. Professional Experience

  4. Healthcare and Pharmacy – Continuous Change • Novel Therapies • Affordable Care Act • Americans access to care • Contraceptives $0 out of pocket • No Lifetime Maximums • Cost of Medications • “Patent Cliff” • Specialty Medications • Approval of new medications • Biosimilars • Compounds

  5. Express Scripts • Fortune 24 Company (2013) • 30,000 Employees • ~100MM members • Manage >1 Billion prescriptions annually

  6. Express Scripts Products • Accredo Specialty Pharmacy • The Express Scripts Home Delivery Pharmacy • Health Solutions • Screen Rx • Rational Med • Retrospective Drug Utilization Review • Drug Solutions • Formulary Management • Step Therapy • Generic Step Therapy • Preferred Step Therapy • Preferred Specialty Management • Prior Authorization • Drug Quantity Management • Fraud Waste & Abuse

  7. Developing Products at Express Scripts • Clinical Merit • Therapeutic Assessment Committee • National P&T Committee • Financial Evaluation • Value Assessment Committee • Pharmaceutical Contracting Group http://www.express-scripts.com/aboutus/formularyinformation/development/formularyDevelopment.pdf

  8. Industry Opportunities • Student Organizations • Networking • Summer Internships • Express Scripts • AMCP • Pharmaceutical Industry • 4th Year Rotations • Residency Programs

  9. Shawn Davis sddavis@express-scripts.com 919.522.7458 Thank You

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