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AMCP Urges HHS to Allow Flexibility in the Design of Prescription Drug Benefits Under Health Care Reform Law
Date:11/10/2011

n therapy management, drug utilization reviews, tiered copayments or co-insurance, adherence programs, health information technology, and access to risk evaluation and minimization strategies management. AMCP's letter to HHS includes descriptions of these and other common managed care pharmacy practices.

Formularies are a particularly important tool in maintaining a pharmacy benefit. Medications and related products listed on a formulary are determined by a pharmacy and therapeutics (P&T) committee, or an equivalent entity.

"Due to the multiplicity of medications on the market, the continuous introduction of new medications, and the discovery of clinical misadventures once a product has been in use, a formulary must be a dynamic and continually revised listing," AMCP says.

P&T committees regularly make formulary changes as the Food and Drug Administration approves new medications and new uses for existing medications. These committees also make formulary changes as new evidence becomes available on existing medications that change previous decisions on the effectiveness or safety of medications.

"The flexibility to make formulary decisions and apply time-tested pharmacy management tools at the health plan level is crucial for ensuring the high quality and affordability of the prescription drug benefit," says Rosato.

AMCP encourages HHS to use this framework in defining a prescription drug benefit to be offered through qualified health plans and state expansion of Medicaid programs.

To read AMCP's comment letter to HHS, click here.

About AMCP
The Academy of Managed Care Pharmacy (AMCP) is a national professional association of pharmacists and other health care practitioners who serve society by the application of sound medication management principles and strategies to improve health care for all. The Academy's nearly
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SOURCE Academy of Managed Care Pharmacy
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