1 / 14

How to Increase Compliance with DoD PEC Formulary

How to Increase Compliance with DoD PEC Formulary. Major Robin J. Johnson Diagnostics & Therapeutics Flt/CC P&T Chairperson Ellsworth AFB, South Dakota. Introduction . Strategy Provider “Buy-In” Non-Formulary Request Process Physician Champion Stand firm. Strategy.

uri
Download Presentation

How to Increase Compliance with DoD PEC Formulary

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. How to Increase Compliance with DoD PEC Formulary Major Robin J. Johnson Diagnostics & Therapeutics Flt/CC P&T Chairperson Ellsworth AFB, South Dakota

  2. Introduction • Strategy • Provider “Buy-In” • Non-Formulary Request Process • Physician Champion • Stand firm

  3. Strategy • Educate MTF Providers • New PCM Pharmacy Orientation letter • IAW AFI 44-102, section 10.6.2, “PCMs…use formulary drugs wherever possible…DoD formulary 1st line agents at all MTFs” • Costs/comments on CHCS • “choose Aciphex or Prilosec 1st line, costs less”

  4. Strategy • Educate MTF Providers (Cont) • Invite PCMs to P&T meetings as guests • Explain all aspects of meeting; why we do what we do at these meetings • New Item Requests welcome • Educate on cost of meds (also in CHCS) • Explain ramifications of adding med to formulary • Impact of Civilian Rxs

  5. Strategy • Educate Civilian Providers & Patients • MTF Website available (update issues) • Paper formularies hand carried by patients • Paper formularies faxed by request • Absolutely do NOT allow a medication to stay on or go onto the MTF formulary that is not consistent with DoD BCF

  6. Strategy • Good relationship with Providers • Invite them to P&T as guests; explain process • Encourage them to use New Drug Request for consideration of MTF formulary addition • Communicate, communicate, communicate • Explain decisions made; give options and alternatives

  7. Strategy • Good relationship with Providers (cont) • Make every effort to be available for the PCMs and try to work with their needs • It’s not just a business, it’s caring about the patient

  8. Provider Buy-In • Understanding the P&T Processes/Budget • More willing to follow the formulary • Encourage patients to try formulary items, not newest, most advertised med (Woman’s Day, Reader’s Digest, TV, etc.) • Communication again…make yourself available for patients and providers • Teamwork is key…we’re all one team • If they think you’re on their side…they’ll play ball

  9. Non-Formulary Requests • Process in place • MDG form 28, Patient Specific Special Purchase Request MUST be submitted • IAW MDG Policy meds may be ordered for patients: • Enrolled to the MTF - CHCS Patient Enrollment History (PENR) status • Must show medical necessity • NO OTC meds

  10. Non-Formulary Requests • Review Process by Pharmacist • Ensure criteria are met • 1-week turn around time • Signed lastly by SGH after patient has received the medication • Denials to requests are explained to the PCM with suggested options of formulary items • If PCM disagrees with denial, SGH is final say

  11. Physician Champion • SGH is the Physician Champion • Make sure he’s on-board with Pharmacy • Co-chairs P&T with Pharmacist and fully understands our processes and budget concerns • Pharmacist is NOT just the recorder • He has my back on decisions • I respect his authority if he overrides a denial decision • Good working relationship

  12. Stand Firm • It’s your budget; you have to answer to spending too much • DoD PEC mandated changes: • Voting is NOT an option at P&T • Remove the drug – tell them at P&T • Add the drug – tell them at P&T • Vote ONLY on items that you may carry

  13. Summary • Strategy • Provider “buy-in” • Nonformulary Request Process • Physician champion • Stand firm

  14. Maj. Robin J. Johnson D&T Flight/CC Ellsworth AFB, South Dakota Robin.johnson@ellsworth.af.mil DSN: 675-3252 Comm: 605-385-3252

More Related