Role of the Managed Care Pharmacist in Using Pharmacoeconomic Analyses in Formulary Decision-Making

ACPE UAN #:   0233-0000-16-007-H04-P

Release Date:  Wednesday, April 20, 2016

Expiration Date:   Wednesday, April 20, 2019

Activity Type:  Knowledge-based  

Contact Hours:   1.25

Activity Fee:  Member:  $15.00             Non-Member:  $30.00


As an accredited provider, AMCP strictly adheres to the ACPE Standards for Commercial Support and other relevant guidelines and standards to ensure the independence of continuing pharmacy education (CPE) activities.  It is AMCP’s intent that all CPE activities be independent, objective, balanced, evidence-based and free of any commercial bias.   

Target Audience: This repurposed session from the AMCP Annual Meeting 2016 is designed to provide insights and solutions for pharmacists who practice in managed care settings, to help them maintain and enhance their knowledge, skills, and abilities. 

Activity Overview

Several different types of pharmacoeconomic evaluation techniques are poised to help curb rising drug spending that results from more expensive, targeted therapies becoming more prevalent in the market place. As the application of economic principles to therapeutic interventions, such as in Cost-Effectiveness Analysis (CEAs) and other pharmacoeconomic evaluation techniques, play a large role in value assessments required by groups such as AMCP (dossiers), the Institute for Clinical and Economic Review, and the California Technology Assessment Forum managed care pharmacists must understand the methodology behind these analyses and incorporate findings of both cost and effectiveness into their budgetary, formulary and other decision-making processes.

This session will discuss the different types of pharmacoeconomic evaluation techniques, such as cost- effectiveness analysis, cost-utility analysis, and cost-minimization analysis. The session will explore their impact on health care decision-making and outcomes. Attendees will also explore a case study on crizotinib used for non-small cell lung cancer to get a better grasp of real world usage of CEAs. 

Learning Objectives:  

  1. Identify at least two types of pharmacoeconomic analyses used in health care decision-making.
  2. Explain how payers can use these analytic techniques to determine the placement of specialty drugs on formularies.
  3. Identify at least two outcomes metrics which can be used to assess success in using these analytic methods.
  4. Discuss the role of genomics in decisions about cost-effectiveness.

Schedule of Educational Activity

This CPE online activity consists of a pre-recorded audio/slide presentation, a pre-test (to establish prior knowledge, not required to pass), a post-test with a score of 70% or higher, and a specific online activity evaluation. 

Faculty Relevant Financial Relationships Disclosure: AMCP asks everyone who is in a position to control the content of a continuing pharmacy education activity to disclose all relevant financial relationships with commercial interests. If AMCP determines that a conflict of interest exists as a result of a financial relationship you have (or that your spouse/partner has), we will need to take appropriate steps to resolve the conflict of interest.

  • Renée JG. Arnold, PharmD, RPh reports:

          o    Quorum Consulting, Inc: Employee

          o    Mount Sinai School of Medicine: Employee

  • AMCP staff report no relevant financial relationships pertinent to this activity: Puneet Singh, PharmD and Ruby Singh, PharmD, BCPS.

Method and CPE Requirements:   

Participants should claim continuing pharmacy education (CPE) credit for this online activity, only if they have not claimed credit for the live activity presented at the AMCP Annual Meeting 2016. 

CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor.  Please allow 24-72 hours for processing and posting in your NABP account.

To receive CPE credit for an AMCP Learn online activity you must:

  • View the entire pre-recorded audio/slide presentation.
  • Successfully complete the post-test with a score of 70% or higher (The post-test will provide feedback.)
  • Complete a specific online activity evaluation.

System Technical Requirements/Viewing Requirements: System Requirements Courses and learning activities are delivered via your Web browser and Acrobat PDF. For all activities you should have a basic comfort level using a computer and navigating the web site.  View the minimum technical and system requirements for online educational activities.

Credit Information

Activity Number Credit Amount Accreditation Period
ACPE UAN #0233-0000-16-007-H04-P 1.25 Contact Hours April 20, 2016 - April 20, 2019