PBM Formulary Strategies And Their Impact on Payers

Table of Contents Photo of Book Written By Written For Shipping Information Related Publications		Order Now (Secure Site) Print Version  PDF Version* View Cart
Place an order or get more information at 800-521-4323
Price: $84 Pages: 96 PDF Version: 619 KB ISBN: 1-931467-48-X © 2003 Pub Code: BPBM		*PDF Version After you submit your order, a link will appear directing you to download the PDF file of the book. This link will be accessible only for 24 hours, so be sure to save the file to your computer. Shipping will NOT be charged for this item.

PBM practices surrounding formulary management have come under intense scrutiny recently. How PBMs collect rebates on formulary products is a topic of much discussion and speculation, even as PBMs continue to keep confidential many details on rebate collection from pharmaceutical manufacturers.

In this book, Tim Watson shares his insight into the formulary management strategies and practices of the nation's leading PBMs.

Each PBM has a distinct approach to formulary management. By understanding these distinctions, payers will be in a better position to:

Watson provides detailed formulary comparisons for selected therapeutic classes, and detailed examples of how formulary management may be approached in the future. This comprehensive guide will provide payers with the necessary tools to conduct more detailed formulary comparisons between various PBM vendors-leading to a renewed alignment of business goals between PBMs and their customers.

This guide provides payers and interested parties with insight into the formulary management tools and practices offered by some of the leading PBMs:

The formulary strategy employed by a PBM will have a material impact on the overall medication use in a payer's population — and the resulting overall cost. Understanding the differences in PBM formulary positioning is key to understanding how overall costs can vary between PBMs.

In an ideal world, payers would be able to compare PBMs on the net cost of drugs (ingredient costs and rebates). However, some PBMs are unwilling or unable to share net cost information. Watson provides specific formulas and comparison points to help you calculate the impact of a particular PBM formulary on your own plan population.

 

Table of Contents

Introduction
The Importance of Formulary Management

Chapter 1
Overview of Formulary Processes at Four Leading PBMs

Chapter 2
Comparison of PBM Formularies in Key Therapeutic Classes

Chapter 3
Comparing the Relative Value of PBM Formularies

Chapter 4
Future Formulary Management Tools

Chapter 5
Description of Resources Available to Assist Payers in Formulary Management

Appendix 1
Oregon Health Resources Commission

Appendix 2
Principles of a Sound Drug Formulary System

Appendix 3
Pharmaceutical Care Management Association

 

Written By

Tim Watson, Pharm.D., M.B.A. is President of Pharmaceutical Strategies Group, LLC, in Dallas, Texas. He has over 10 years of experience in the health care arena with a focus on the pharmaceutical marketplace. He specializes in providing strategic planning, market research, and pharmacy program management services to a diverse group of clients.

 

Written For

Shipping Information

PDF Version:
If you place your order through our secure shopping cart, a link will appear directing you to download the PDF file of the book. This link will be accessible only for 24 hours, so be sure to save the file to your computer. If you place your order via phone, fax or mail, the PDF version will be e-mailed to you when your order is processed (usually within 1 business day). Shipping costs will not be charged for this item.

Print Version:
This item is shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes). You should receive your order within 5-7 business days. Shipping cost is $5 per item.

Print Rush Orders:
Please call us at 800-521-4323 to place a rush order. We will overnight your order for an additional charge of $30, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day.

 

Related Publications

Drug Benefit News
Pharmacy Benefit Trends & Data
Specialty Pharmacy News
Status of 104 Drugs on 30 HMO Formularies

 

For further information call 800-521-4323 or e-mail customerserv@aispub.com