Formulary Development

Finding the balance between lowest net cost and outcomes

Formulary Development and Administration

Our team of knowledgeable professionals has pioneered groundbreaking formulary outcomes and rebate strategies for over 20 years. The foundation of these strategies has always been value for both payers and manufacturers. Our team of clinical experts has proven success in formulary development, administration and management in Commercial, Medicare and Medicare. We have the expertise to manage all aspects of development from pipeline to pull-though. Balancing lowest net cost with outcomes research and data, our team of clinical and financial experts has more formulary, pricing and rebate contracting experience than any other pharmaceutical consulting firm.

• Pipeline tracking, analysis and strategy
• Monitoring of new indications, labeling changes and safety warning
• Regional, state or other demographic data
• Incorporation of CMS guidance for therapeutic and protected class management
• Independent development of therapeutic class analysis
• P&T Committee process and decision making
• Utilization management development, review and appeal process in all managed markets
• Managing appropriate access for off-label indications
• Commercial, Medicaid and Medicare strategy
• Specialty and biosimilar market management
• Formulary administration in all managed markets
• Building the right value proposition and pull-through programs for each payer segment