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Academy of Managed Care Pharmacy
P4 student perspective
Jina ParkThe Ohio State UniversityPharmD Candidate 2014
Background
Bachelor of Science in Pharmaceutical Sciences (BSPS)
Economics minor
Worked at Kroger Pharmacy during undergrad
Did not want to do retail or hospital… what’s left for me? Managed care Industry PharmD/MBA
Why did I choose Managed Care?
Non-traditional pharmacy practice
My interest in Economics/ Business Undergrad: Economics minor PharmD: marketing, operational management
Experience at retail and other clinical settings taught me: Best clinical practices don’t always mean the most cost-effective
therapy How do we balance the best clinical practice and the cost?
If health plans do not cover certain drugs, patients will not be able to take the medications
Inefficient US health care system
Decisions that impact large population not individuals Focus on big picture
What is Managed Care?Where can I work?Based on clinical and economical data
Make decisions on formulary management Cost control techniques -> prior authorization, quantity limit
Think of pseudoephedrine
As a managed care pharmacist… you can work at: Pharmacy Benefit Manager (PBM) – Express Scripts, Caremark,
OptumRx Health Plans – Aetna, Blue Cross Blue Shield, United Health Pharmaceutical Companies in Health Outcomes, Medical Affairs,
Marketing Consulting – Burchfield group, Excenda Government – Value-based care, comparative effectiveness
research (CER) Hospital – Formulary management
My involvement & Work experienceAMCP
P1 liaison, President-Elect, President First to coordinate FF4M with APhA P&T competition as a P1, P2 Coordinated P&T competition as a P3
University-level committee OSU student health insurance committee
Work Kroger Pharmacy Intern Medco (now Express Scripts) summer 2011 OSU health plan summer 2012 AMCP/FMCP/Allergan Internship summer 2013
AMCP/FMCP/Allergan Summer Internship 2013
2 students per year AMCP pays…
For hotel, flight, rental car, stipend during the internship For hotel, flight, registration fee for educational conference 2013
Present research project / poster 2-year free membership with AMCP
Become part of AMCP/FMCP internship alumni group Networking opportunities
Amanda Bain 2005, Elizabeth Chang 2009
Networking opportunities within the company Supervised under Vice President of Health Outcomes in Allergan Meetings with Vice President of Medical Affairs, Marketing, Government
Affairs, Research and Development, etc etc…
Networking opportunities with OptumRx Director of residency, past & current residents
AMCP/FMCP/Allergan Summer Internship 2013Projects
Intrathecal Baclofen Systematic Literature Review General spasticity, orphan drug Clinical, humanistic, complication, cost data Compare to pipeline drug 89-page internal document with charts Abstract, Poster
BOTOX® Differentiation Project Scientific evidence for its superiority among neurological toxins
Reviewed AMCP dossiers, global value dossiers (GVDs) Learn the process involving putting drugs on medical policy
Medicare, Medicaid, BCBS, United Health, Aetna Marketing / Commercial team
Research on orphan drugs
AMCP/FMCP/Allergan Summer Internship 2013Learning
How health economics play a big role in developing drugs Compare efficacy & cost data to already existing therapy No superiority -> pipeline drug killed Superiority -> continue development Decisions are made even before phase 1
80% Pharmacist 20% PhDs A lot of interaction with marketing, commercial team
My preceptor made strategy decisions on Development of pipeline drugs Marketing strategies/ materials for existing drugs
Learn the process involving putting drugs on formulary from pharmaceutical industry perspective
Learn the formulary management process at OptumRx (PBM)
OpportunitiesLeadership
Chapter National -> Vimal [email protected]
Applications due in Oct-Nov
Internships FMCP/AMCP/Pfizer FMCP/AMCP/Allergan FMCP/AMCP/Genetech AMCP/Univ of Minnesota/Burchfield group
Applictions are due in Jan-Feb
Conferences Educational -> usually Oct National -> usually April
P&T Competition***
Local / National Teams of 4 Real life experience of formulary management Evaluating cases clinically Evaluating pharmacoeconomics
Clinical knowledge & health economics
Benefits? Great networking opportunities Experience for your CV Class credits!
