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It’s not just a Preferred Drug List… It’s the Transformation of the Virginia Medicaid Pharmacy Program

It’s not just a Preferred Drug List… It’s the Transformation of the Virginia Medicaid Pharmacy Program. Bryan Tomlinson Department of Medical Assistance Services. September 11, 2003 Richmond, Virginia. Integration of. Professional Staffing. Information Technology.

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It’s not just a Preferred Drug List… It’s the Transformation of the Virginia Medicaid Pharmacy Program

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  1. It’s not just a Preferred Drug List… It’s the Transformation of the Virginia Medicaid Pharmacy Program Bryan Tomlinson Department of Medical Assistance Services September 11, 2003 Richmond, Virginia

  2. Integration of Professional Staffing Information Technology VA’s New Medicaid Pharmacy Program Managed Rx Drug Benefits Expert Panels

  3. Restructured Professional Staffing • Pharmacy Manager • Staff Pharmacists • Contract Manager • Program Technician • Rebate Expertise

  4. Information Technology • VAMMIS • FirsTrax • First IQ • FirstRebate

  5. Managed Rx Drug Benefits • Preferred Drug List • Prior Authorization (PA) • Drug Utilization Reviews • Threshold PA (unique drugs over 9) • Quality Enhancements

  6. Integrated Expert Panels • Pharmacy & Therapeutics Committee • Drug Utilization Review Board • Pharmacy Liaison Committee • Association/Advocacy Groups • PDL/PA Implementation Advisory Group

  7. 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

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