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As the influence of payers has risen dramatically, pharmaceutical field medical team (FMT) interactions with payers also have risen in importance. The healthcare market is shifting to a value-based system; a new product’s position on a formulary is now as important as its reception among prescribers and KOLs. Recognizing this trend, pharma is paying more attention to the type of information that payers want and, more importantly, the information that will affect formulary decisions.
This study explores what types of information managed care organizations find most important for their formulary decision-making and how they are using the information related to formulary placement.
This study engaged a total of 23 formulary leaders from at least 16 managed care organizations. Medical directors represented more than 40% of the respondents.
Insurance; Health Care; Medical
Anthem; Kaiser Permanente; CVS Health; WellSpan Health; DaVita; Aetna; Ascension; Cleveland Clinic; Express Scripts; Inc.; Tenet Healthcare ; Humana; MedImpact; HCA; UnityPoint Health; St. Joseph's Health; University Hospitals