Module Description

This module examines how RWE is applied in payer formulary and coverage decision-making across the drug lifecycle. Learners will explore how RWE fills evidence gaps beyond clinical trials, review real-world payer case examples, and apply the AMCP RWE Framework and Checklist to assess the validity, reliability, and relevance of RWE used to inform coverage, utilization management, and contracting decisions.

Learning Objectives:

• Describe how to access RWE.
• Discuss how RWE complements RCTs in coverage determination and formulary decisions.
• Discuss strategies for incorporating the AMCP RWE Standards into RWE assessment processes for formulary and utilization management, and for contracting opportunities throughout the drug life cycle.
• Review case examples where RWE informed coverage decisions.
• Apply the AMCP RWE Standards to assess and ensure the validity and reliability of all RWE studies.