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Pharmacy and Therapeutics Committee

The Idaho Medicaid Pharmacy and Therapeutics Committee (P&T Committee) is comprised of Idaho health practitioners – physicians, physician assistant, pharmacists – who are committed to providing the right care at the right price. This committee meets four times per year to review clinical evidence. The P&T Committee makes recommendations to the Department of Health and Welfare regarding drug safety and efficacy as well as prior authorization requirements. Cost modeling analysis is done by the department twice per year – following the committee meetings in May and November.

Preferred Drug List (PDL)

Changes to Public Comment Process

October 5, 2009

Submission Policy for P&T Public Hearing:

The Idaho Medicaid Pharmacy and Therapeutics Committee appreciates scientific data provided by pharmaceutical companies and their scientists. Per new public testimony guidelines adopted by Idaho Medicaid in July, scientific data to be presented by pharmaceutical companies or their scientists is limited to new information not already available to P&T Committee members through Provider Synergies, OHSU’s DERP and/or other standard drug information sources. Those wishing to submit scientific data for consideration must review data already available to the Committee.

Material submitted for review needs to be limited to what will be presented. Submissions containing more than this will be returned to submitters. Product monographs and dossiers, P&T Committee briefs, extensive bibliographies, or similar inclusions will cause submissions to be rejected and returned.  

Clinical data needs to be submitted to Provider Synergies or OHSU DERP, depending upon who is providing the P&T review.

July 17, 2009 (updated January 4, 2010)

Background:
The public comment hour of the P&T meeting has historically been an important source of information for the P&T committee members. The value of this time, however, has been impaired by the limitation of time and the number of speakers who desire to give testimony during that time. Speakers often have to be cut off before they have finished giving their information. In addition, speakers often spend time giving data that is already well known to committee members. On at least one occasion, speakers were not allowed to speak because time had run out before their turn came.
Language Changes to the P&T Public Comment Guidelines:


Public comment will be limited to clinical and social comments. Testimony regarding pricing is not permitted.  

Data presented during public testimony fits generally into two categories:

·         Clinical experience, either from provider or Medicaid participant

o   Clinical experience data is available to the committee only through letters received by the committee and/or by the testimony given during the public comment period of the P&T meeting. Providers and participants will not be restricted from giving clinical experience, other than time constraints needed to accommodate speakers during the 60 minute public comment period.  

·         Scientific data provided by pharmaceutical scientists or their representatives

o   Those who wish to present scientific data should review the data already available to committee members. This is publicly available on the P&T website. Persons may present scientific data not already available to committee members. This information is most useful if reviewed in conjunction with drug class reviews committee members are already studying. Persons presenting scientific data, therefore, will be required to present their data to the Idaho Medicaid Pharmacy Unit in writing at least 30 days* prior to the meeting so it can be carefully considered by committee members prior to the meeting.

§  (*This submission period will be 15 days for the February 19, 2010 and August 20, 2010 meetings only)

o   There may be times when scientific data may become available less than one month prior to the meeting. In such cases, special requests may be made to make oral presentations at the P&T meeting.  

o   Oral presentation will be restricted to new information only. New information is considered to be: (1) new product in the drug class, (2) new indication since the last review, or (3) new studies released since the last review, excluding placebo studies only.

o   The P&T Committee chairman or his designee will review information to see if it meets the new information guidelines noted above. The Department will then advise potential speakers if they will be able to present at least 5 days prior to the meeting.

All presenters are required to disclose who they represent, including any financial relationships and conflict of interest. This is to be done on the Public Comment Sign-in Sheet as well as when addressing the P&T Committee.

General P&T Information

2011 Meeting Dates:

    April 15
    May 20
    October 21
    November 18

2012 Meeting Dates:


    April 20
    May 11
    October 19
    November 16

Voting Members 

  • Phil Petersen, M.D. (Board Chairman, Orofino, serving since January 2005)
  • Catherine Hitt Piechowski, PharmD (Boise, serving since July 2008)
  • Perry Brown, M.D. (Boise, serving since January 2009)
  • Elaine Ladd, PharmD (Boise, serving since January 2010)
  • John Mahan, M.D. (Boise, serving since July 2009)    
  • William M. Woodhouse, M.D. (Pocatello, serving since January 2005)
  • Dennis Tofteland, RPh (Meridian, serving since July 2008)

Non-Voting Members

  • Mark Turner, MD (Boise, serving since January 2009)
  • Tamara Eide, PharmD (Medicaid Pharmacy Supervisor)  
  • Mark Johnston, RPh (Idaho Board of Pharmacy) 
  • Hamilton Warren-Sutton, MD (Boise, Mental Health Drug Advisor since November 2011)
     
 

Black = DERP Review
Green = Magellan/Provider Synergies
Review  

P&T Drug Review Schedule for 2011

P&T Meeting Dates
New Reviews
Re-Reviews
April 20, 2012 *
 
Angiotensin Modulators
Angiotensin Modulator Combinations
Beta Blockers
Calcium Channel Blockers
Lipotropics, Other
Lipotropics, Statins
Anticoagulants
Platelet Aggregation Inhibitors
PAH Agents, Oral
Androgenic Agents
BPH Treatments
Bladder Relaxant Preparations
Bone Resorption Suppression and Related Agents
Phosphate Binders
Hypoglycemics, Incretin Minetics/Enhancers
Hypoglycemics, Insulin
Hypoglycemics, Meglitinides
Hypoglycemics, TZD
Growth Hormone
Erythropoiesis Stimulating Proteins
Hepatitis C Agents
Pancreatic Enzymes
Proton Pump Inhibitors
May 18, 2012**

Analgesics, Narcotic long-acting
Analgesics, Narcotic short-acting
Opiate Dependence
Skeletal Muscle Relaxants
Antimigraine Agents
Antiemetics/Antivertigo Agents
Antibiotics, inhaled
Cephalosporins and Related Agents
Fluroquinolones, oral
Macrolides/Ketolides
Tetracyclines
Antibiotics, Topical
Antibiotics, Vaginal
Antifungals, Oral
Antifungals, Topical
Antiparasitics, Topical
Antivirals, Oral
Antivirals, Topical
Ulcerative Colitis Agents
Immunosuppressants
Multiple Sclerosis Agents
October 19,
2012 ***

Bronchodilators, Anticholinergic
Bronchodilators, Beta Agonist
Glucocorticoids, Inhaled
Leukotriene modifiers
Antihistamines, minimally sedating
Intranasal Rhinitis
Immunomodulators, Atopic Dermatitis
Cough and Cold, Cold
Cough and Cold, Narcotics
Cough and Cold Non-Narcotic
Otic Antibiotics
Epinephrine Self-injected
Ophthalmic Antiinflammatories
Ophthalmic Antibiotics
Ophthalmic Antibiotic/Steroid Combinations
Ophthalmics for Allergic Conjunctivitis
Ophthalmics, Glaucoma Agents
November 16, 2012 ****
 
Analgesics/Anesthetics, Topical
NSAIDs
Fibromyalgia Agents
Cytokine/CAM Agents
Antihyperurecemics, oral
Anticonvulsants
Antidepressants, other
Antidepressants, SSRIs
Atypical Antipsychotics
Typical Antipsychotics
Stimulants and Related Agents
Sedative Hypnotics
Alzheimer’s Agents
Antiparkinson’s Agents
   

August 21, 2009 Meeting Items

 Title
AAP Executive Summary Update
AAP Executive Summary Update 2 Final
AAP Final P&T Brief Update
AAP Final Report Update
AAP Final Slides Update 2 Unshaded Version 2 June 08
AD2 Final Executive Summary Update
AD2 Final P&T Brief
AD2 Final Report Update
AD2 Final Slides Update 4 Nov 08
Additional Letters for August 21 Meeting
Alzheimers Agents
Analgesics-Anesthetics, Topical
Androgenic Agents
Antiemetics Final Executive Summary
Antiemetics Final Report Update
Antiemetics Final Slides Update 1 New Information Underlined Jan 2009
Anti-Parkinsons Agents
Antipsychotics
Bone Resorption Suppression and Related Agents
Cytokine and CAM Antagonists
Diabetes Final Executive Summary
Diabetes Final P&T Brief
Diabetes Final Report
Diabetes Final Slides Original
Final Agenda for August 21 Meeting
Hypoglycemics/Insulins
IDM Aug 09 Clinical Presentation Final Slides
Letters for August 21 Meeting
NSAIDS
Ophthalmic Antibiotics
Ophthalmic Anti-Inflammatories
Ophthalmics, Glaucoma Agents
Pancreatic Enzymes
Platelet Aggregation Inhibitors
Stimulants and Related Agents
Testimony Submissions 1
Testimony Submissions 11
Testimony Submissions 12
Testimony Submissions 13
Testimony Submissions 14
Testimony Submissions 15
Testimony Submissions 16
Testimony Submissions 17
Testimony Submissions 18
Testimony Submissions 19
Testimony Submissions 2
Testimony Submissions 20
Testimony Submissions 3
Testimony Submissions 4
Testimony Submissions 5
Testimony Submissions 6
Testimony Submissions 7
Testimony Submissions 8
Testimony Submissions 9

Outside Resources