Drug Formulary and Prior Authorization Criteria

Prescription medications are one of the most rapidly increasing expenditures for a state agency or health care organization. When a new medication or product becomes available, our clinical pharmacists conduct a thorough evaluation process to determine the appropriate placement on a payer’s drug list or formulary and recommend prior authorization criteria to promote optimal use. This can include:

  • Evidence-based medicine literature review
  • Consideration of economic implications
  • Drug monograph creation, including comparisons to currently available products and/or formulations

Presentation at Pharmacy and Therapeutics Committee and/or Drug Utilization Review Board meetings