Its not just a Preferred Drug List Its the Transformation of the Virginia Medicaid Pharmacy Program

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Its not just a Preferred Drug List
Its the Transformation of the Virginia
Medicaid Pharmacy Program
Bryan Tomlinson Department of Medical Assistance
Services
September 11, 2003 Richmond, Virginia
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Integration of
Professional Staffing
Information Technology
VAs New Medicaid Pharmacy Program
Managed Rx Drug Benefits
Expert Panels
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Restructured Professional Staffing

• Pharmacy Manager
• Staff Pharmacists
• Contract Manager
• Program Technician
• Rebate Expertise

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Information Technology

• VAMMIS
• FirsTrax
• First IQ
• FirstRebate

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Managed Rx Drug Benefits

• Preferred Drug List
• Prior Authorization (PA)
• Drug Utilization Reviews
• Threshold PA (unique drugs over 9)
• Quality Enhancements

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Integrated Expert Panels

• Pharmacy Therapeutics Committee
• Drug Utilization Review Board
• Pharmacy Liaison Committee
• Association/Advocacy Groups
• PDL/PA Implementation Advisory Group

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The Transformation
Dynamic Leadership Professional Staffing
Advanced Managed Pharmacy Practices
Focused Quality Patient Safety Initiatives
Improved Pricing Arrangements
Sophisticated IT Operating Decision Support
Systems
Enhanced Decision-Making Support from Expert
Panels