APFM Section 1 Module 1: Formulary Overview
Module Description
This module begins the Advanced Principles of Formulary Management training program. It provides an overview of formulary management's basics and key business lines and will briefly introduce benefit design. Additionally, learners will explore the general structures and common management tools used within drug formularies.
Target Audience
This program is designed for mid-level managed care pharmacists and managed care professionals working in formulary management or considering a transition to formulary management.
Learning Objectives
At the completion of this activity, participants should be able to:
- Summarize the different lines of business for which payers develop and maintain formularies.
- Define the process for formulary development.
- Review the general structures and common management tools used within drug formularies.
- Discuss the differences between pharmacy and medical drug management.
Faculty/Author:
Vimal V. Reddy, PharmD
Advisory Board
Shawn Barger, PharmD
Lead Director, Medicare Formulary Development and Management
Password
Aimee Loucks, PharmD, BCPS
Director Clinical Pharmacy Services
Kaiser Permanente Washington
Lisa Mahan, PharmD, MS, MTM
Clinical Program Senior Manager
Cigna Healthcare
Kristen Patti, PharmD
Manager, Clinical Drug Evaluation & Policy
Blue Cross Blue Shield of Michigan
Reviewers
Steve Kheloussi, PharmD, MBA, FAMCP
Director, Professional Affairs
AMCP
Katherine Tieu, PharmD
Clinical Account Manager
Capital Rx
Drake Reiter, PharmD
Director, Pharmacy Operations
Priority Health
Financial Relationship Disclosures:
Faculty/Reviewer/Planner | Reported Relevant Financial Relationships |
Vimal Reddy, PharmD Faculty/Author | None |
Shawn Barger, PharmD Planner | None |
Aimee Louckes, PharmD, BCPS Planner | None |
Lisa Mahan, PharmD, MS, MTM Planner | None |
Kristen Patti, PharmD Planner | IngenioRx |
Steve Kheloussi, PharmD, MBA Reviewer | None |
Drake Reiter, PharmD Reviewer | None |
Katherine Tieu, PharmD Reviewer | None |
- AMCP Staff have disclosed no relevant financial relationships.
- If applicable, relevant financial relationships have been mitigated and documented.
- Content has undergone a peer review to ensure content validity.
Accreditation:
ACPE UAN:0233-0000-24-066-H04-P • Activity Type: Knowledge-Based
Contact Hours: 0.75
Release Date: December 13, 2024 • Expiration Date: December 13, 2027
CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor. Please allow 72 hours for processing and posting in your NABP account.
To receive credit for an online activity you must:
- Review the full content of the activity.
- Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
- Complete a specific activity evaluation.
Available Credit
- 0.75 ACPEThe Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
- 0.75 Certificate of Completion