1. DoD Pharmacoeconomic Center www.pec.ha.osd.mil 1 TMA DoD Pharmacoeconomic Center Fort Sam Houston, TX MTF Quarterly Webcast LTC Stacia Spridgen Director, DoD Pharmacoeconomic Center

2. DoD Pharmacoeconomic Center www.pec.ha.osd.mil 2 Introduction Greetings from the PEC Purpose of the Quarterly MTF Webcast DCO Ground Rules –Type questions into DCO system –Put on mute, not on hold -Contingency plan if DCO system quits working

3. DoD Pharmacoeconomic Center www.pec.ha.osd.mil 3 Review of P&T Activities Dr David Meade, PharmD, BCPS LtCol (Ret), BSC, USAF Director, Clinical Operations

4. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Nov 09 P&T Meeting 4 Designated NF – DrugImplementation – Interferon Beta-1b Injection (Extavia) 60days – Bupropion HBr ER tabs (Aplenzin)60 days – Milnacipran tabs (Savella) 60 days – Oxybutynin Topical Gel (Gelnique) 60 days – Tapentadol tabs (Nucynta) 60 days – Tramadol ER tabs (Ryzolt) 60 days – Tadalafil tabs (Adcirca) 60 days Designated as Formulary – Sildenafil tabs (Revatio 20 mg) – Bupropion HCl ER tabs (Wellbutrin XL, gen) – Valsartan/Amlodipine/HCTZ tabs (Exforge HCT)

5. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Feb 10 P&T Meeting 5 Removed from the BCF –Hydrocodone/Acetaminophen 5 mg/500 mg –Telmisartan +/- HCTZ (Micardis, Micardis HCT) Added to the BCF –levonorgestrel 0.75 mg (Next Choice; generic Plan B)

6. DoD Pharmacoeconomic Center www.pec.ha.osd.mil May 10 P&T Meeting 6 Insulins Basal Insulins –Pens and vials Other Insulins –Novo retained national contract –Pens and vials – BCF determination at next meeting Clotting Factors New Drugs: Embeda, Intunive, Twynsta, Edular, Valturna House Keeping –PDE-5 Inhibitors for ED – PA criteria for post-prostatectomy use –Exenatide (Byetta) – PA Criteria –Sumatriptan injection (Sumavel dose-pro) – QLs BAP : 25 March –http://www.tricare.mil/pharmacy/bap/mail.cfmhttp://www.tricare.mil/pharmacy/bap/mail.cfm Minute Signing: Mid April

7. DoD Pharmacoeconomic Center www.pec.ha.osd.mil May 10 P&T Meeting Lip1 –Statins –Stain Combos –Niacin –Niacin Combos New Drugs in Already Reviewed Class –Onsolis –Sumavel BPH – Flomax generic – Step therapy

8. DoD Pharmacoeconomic Center www.pec.ha.osd.mil 8 CD-MART Hector Morales Deputy Director, TMA Pharmacy Operations Center

9. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Controlled Drug Management, Analysis and Reporting Tool (CD-MART) Scope Automated tool to assist providers in analyzing controlled prescription usage Menu-driven, Microsoft Access database with pre-set filtering parameters The Pharmacy Data Transaction Service (PDTS) is the data source 9

10. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Controlled Drug Management, Analysis and Reporting Tool (CD-MART) Target Population Focus on beneficiaries enrolled to specific MTF, includes all enrollment locations under the MTF commander Data from within the MTF’s 40- mile catchment area or all of the Department of Defense (DOD). All points of service controlled substances 10

11. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Controlled Drug Management, Analysis and Reporting Tool (CD-MART) Pre-Set Parameters Four parameters which are local criteria based Number of Prescriptions (RXs), Pharmacies, Providers and Total Quantity Tablets/Capsules. User manipulates the parameters to produce a specific report 11

12. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Controlled Drug Management, Analysis and Reporting Tool (CD-MART) Report Manipulation Setting parameters produces any one of the following reports or combinations there of : All patients with more than “n” controlled substance prescriptions All patients with controlled substance prescriptions from more than “n” pharmacies All patients with controlled substance prescriptions from more than “n” providers All patients with controlled substance prescription quantities exceeding “n” tablets/capsules Export to Excel report one patient or for all patients 12

13. DoD Pharmacoeconomic Center www.pec.ha.osd.mil How To Order a CD-MART 1-866-275-4732 ask for a DMT member or CDMART@amedd.army.mil 13

14. DoD Pharmacoeconomic Center www.pec.ha.osd.mil 14 Website Dr Jeremy Briggs, PharmD Industry Liaison

15. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Old Webpage 15

16. DoD Pharmacoeconomic Center www.pec.ha.osd.mil New Webpage 16

17. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Military Treatment Facility (MTF) Information 17

18. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Basic Core Formulary 18

19. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Tables are sortable 19

20. DoD Pharmacoeconomic Center www.pec.ha.osd.mil To Export Table Information 1. left click and highlight desired fields 2. Right click and copy 3. Paste into Excel 20

21. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Excel 21

22. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Finding Information on a Webpage 22

23. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Find 23

24. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Find 24

25. DoD Pharmacoeconomic Center www.pec.ha.osd.mil Quantity Limits, Prior Authorizations and Medical Necessity Criteria & Forms 25

26. DoD Pharmacoeconomic Center www.pec.ha.osd.mil TRICARE Pharmacy Forms and Criteria Note: All fields with cross symbol are sortable. 26

27. DoD Pharmacoeconomic Center www.pec.ha.osd.mil PEC Contact Info 210-295-1271 (DSN 421-1271) –For PEC Clinical Staff, 1-866-ASK 4 PEC (275-4732) –Pharmacy Operation Center –PECWEB@amedd.army.mil Website issues –pdts.ameddcs@amedd.army.mil Questions, assistance with PDTS, Business Objects –PECUF@amedd.army.mil Clinical, Formulary questions 27