Advanced Principles of Formulary Management

Pricing: $399 Members | $549 Non-Members

Contact amcplearn@amcp.org for bulk pricing

Program Overview

The Advanced Principles of Formulary Management training program provides pharmacists with the essential skills and best practices needed to optimize drug formularies. In 16 interactive modules, learners will explore key elements of formulary management, operations, and maintenance, including regulatory and legal considerations, value assessment, clinical evaluation, and much more. 

Section 1: Formulary Management Overview

Formulary management is a tool used to optimize patient access, manage costs, and improve overall health care outcomes. This section provides an overview of the necessary tools and considerations used in formulary management such as the basics of utilization management, regulatory and legal considerations, and the role of PBMs and rebates.

  • Module 1: Formulary Overview
  • Module 2: Utilization Management
  • Module 3: PBM
  • Module 4: Regulatory and Legal Considerations

Section 2: Formulary Development

This next section will examine the various considerations for formulary development. Learners will learn about P&T committees, value assessment, clinical evaluation, coverage decision, and utilization management. Lastly, special considerations and hot topics will be discussed, including various FDA approval pathways, health disparities, incorporating the patient voice, and more.

  • Module 1: P&T Committee
  • Module 2: Clinical Evaluation
  • Module 3: Value Assessment
  • Module 4: Coverage Decision/Utilization Management
  • Module 5: Special Considerations and Hot Topics

Section 3: Formulary Operations

After all the clinical decisions have been made by the formulary development teams, the formulary operations team puts the formulary into action. Various steps to ensure that the formulary is programmed and executed correctly to ensure the patient has appropriate access to their medications. This section will provide an overview of formulary operations, best practices for formulary communication and education, and utilization management administration.

  • Module 1: Overview of Formulary Operations
  • Module 2: Formulary Communication and Education
  • Module 3: Utilization Management Administration

Section 4: Formulary Maintenance

Maintaining and updating formularies is a continual process to ensure they remain current, effective, and aligned with the latest clinical evidence, safety information, and cost considerations. Formulary maintenance requires regular review, evaluation, monitoring, and assessment to remain dynamic and promote safe and effective medication use.

  • Module 1: Classification Systems
  • Module 2: Formulary Maintenance Considerations
  • Module 3: Strategies for Monitoring the Formulary
  • Module 4: Utilizing Formulary Resources and Best Practices

Course Description and Learning Objectives

For individual module descriptions and learning objectives, view the document linked below:

PDF icon APFM Module Descriptions and Objectives.pdf

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. 


Upon completion of this program, you will be issued a digital badge and certificate of completion that you can add to your social media profiles. Showcase your achievements to your colleagues!

Course summary
Available credit: 
  • 13.00 ACPE
    ACPE The Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
  • 13.00 Certificate of Completion
Course opens: 
12/13/2024
Course expires: 
12/13/2027
Cost:
$549.00

Faculty/Authors:

Jennifer Cashman, PharmD
Director, Drug Use Management
Kaiser Permanente

Lisa Cashman, PharmD
VP Payer Strategy
Lumanity

Jasmine Chang, PharmD
Clinical Pharmacist
PerformRx

Tori Dayer, PharmD
Graduate Student
University of Washington

Goldina Erowele, PharmD, MBA
Pharmacy Advisor/Consultant
KJC Media Health

Angela Guldin, PharmD
Clinical Pharmacist
CareFirst BlueCross BlueShield

Gregory Heindel, PharmD
Director of Pharmacy Medication Safety and Therapeutics
UNC Health

Stephen Kim, PharmD
Formulary Administration Pharmacist
MedImpact HealthCare Systems

Lisa Le Gette, MBA, RPh
Senior Director, Government Affairs
Express Scripts

Greg Low, RPh, PhD
Manager, Pharmacy Operations
Mass General Brigham Health Plan

Erin Maxwell, PharmD
Clinical Pharmacist Specialist
UNC Health

Vimal Reddy, PharmD, FAMCP

Spenser Smith, PharmD
Senior Clinical Pharmacist
Blue Cross Blue Shield of North Carolina

Sean Sullivan, PhD, M.Sc
Professor and Dean
The Comparative Health outcomes, Policy, and Economics (CHOICE) Institute
University of Washington

Anne Tran-Pugh, PharmD, FCSHP
Residency Program Director PGY-2 Drug Information
Pharmacy Project Manager III
Kaiser Permanente

Kristen Tripicchio, PharmD
Research Director, Formulary Insights

Danilo Trivic, PharmD
Director, Pharmacy Formulary Management
Centene Pharmacy Services

Alyssa Tutino, PharmD
Pharmacy Strategy and Policy Development Clinical Pharmacist
Excellus BlueCross BlueShield

Timothy Wong, PharmD
Clinical Manager, Medicare Pharmacy Operations
Blue Cross Blue Shield of Massachusetts

Nicole Woods, PharmD
Clinical Program Senior Advisor, IFP Formulary Strategy
Cigna Healthcare

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/PlannerReported Relevant Financial Relationships
Shawn Barger
Planner
None
Lisa Cashman
Faculty
Lumanity, Abbvie, Amgen
Jennifer Cashman
Faculty
None
Jasmine Chang
Faculty
PerformRx
Tori Dayer
Faculty
Curta Health, Novartis Gene Therapies
Goldina Erowele
Faculty
None
Angela Guldin
Faculty
Abaraca Health
Gergory Heindel
Faculty
None
Steve Kheloussi
Reviewer
None
Stephen Kim
Faculty
MedImpact
Lisa LeGette
Faculty
Evernorth Health Services
Aimee Loucks
Planner
None
Greg Low
Faculty
Hologic
Lisa Mahan
Planner
None
Erin Maxwell
Faculty
OptumRx
Kristen Patti
Planner
IngenioRx
Vimal Reddy
Faculty
None
Drake Reiter
Reviewer
None
Spenser Smith
Faculty
None
Sean Sullivan
Faculty
None
Kathrine Tieu
Reviewer
None
Anne Tran-Pugh
Faculty
None
Kristen Tripicchio
Faculty
None
Danilo Trivic
Faculty
Centene
Alyssa Tutino
Faculty
None
Timothy Wong
Faculty
None
Nicole Woods
Faculty
Cigna Healthcare
  • 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.

Available Credit

  • 13.00 ACPE
    ACPE The Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
  • 13.00 Certificate of Completion
 
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