It’s not just a Preferred Drug List… It’s the Transformation of the Virginia Medicaid Pharmacy...
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![Page 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.](https://reader036.fdocuments.in/reader036/viewer/2022072006/56649f455503460f94c66f4f/html5/thumbnails/1.jpg)
It’s not just a Preferred Drug List…
It’s the Transformation of the Virginia Medicaid Pharmacy Program
Bryan TomlinsonDepartment of Medical Assistance Services
September 11, 2003Richmond, Virginia
![Page 2: It’s not just a Preferred Drug List… It’s the Transformation of the Virginia Medicaid Pharmacy Program Bryan Tomlinson Department of Medical Assistance.](https://reader036.fdocuments.in/reader036/viewer/2022072006/56649f455503460f94c66f4f/html5/thumbnails/2.jpg)
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Information Technology Professional Staffing
Managed Rx Drug Benefits
ExpertPanels
VA’s New Medicaid Pharmacy Program
Integration of
![Page 3: It’s not just a Preferred Drug List… It’s the Transformation of the Virginia Medicaid Pharmacy Program Bryan Tomlinson Department of Medical Assistance.](https://reader036.fdocuments.in/reader036/viewer/2022072006/56649f455503460f94c66f4f/html5/thumbnails/3.jpg)
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Restructured Professional Staffing
•Pharmacy Manager
•Staff Pharmacists
•Contract Manager
•Program
Technician
•Rebate Expertise
![Page 4: It’s not just a Preferred Drug List… It’s the Transformation of the Virginia Medicaid Pharmacy Program Bryan Tomlinson Department of Medical Assistance.](https://reader036.fdocuments.in/reader036/viewer/2022072006/56649f455503460f94c66f4f/html5/thumbnails/4.jpg)
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Information Technology
•VAMMIS•FirsTrax•First IQ•FirstRebate
![Page 5: It’s not just a Preferred Drug List… It’s the Transformation of the Virginia Medicaid Pharmacy Program Bryan Tomlinson Department of Medical Assistance.](https://reader036.fdocuments.in/reader036/viewer/2022072006/56649f455503460f94c66f4f/html5/thumbnails/5.jpg)
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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
![Page 6: It’s not just a Preferred Drug List… It’s the Transformation of the Virginia Medicaid Pharmacy Program Bryan Tomlinson Department of Medical Assistance.](https://reader036.fdocuments.in/reader036/viewer/2022072006/56649f455503460f94c66f4f/html5/thumbnails/6.jpg)
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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
![Page 7: It’s not just a Preferred Drug List… It’s the Transformation of the Virginia Medicaid Pharmacy Program Bryan Tomlinson Department of Medical Assistance.](https://reader036.fdocuments.in/reader036/viewer/2022072006/56649f455503460f94c66f4f/html5/thumbnails/7.jpg)
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The Transformation
Sophisticated IT Operating & Decision Support Systems
Advanced Managed Pharmacy Practices
Enhanced Decision-Making Support from Expert Panels
Improved Pricing Arrangements
Focused Quality & Patient Safety Initiatives
Dynamic Leadership & Professional Staffing