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Pharmacy Meeting
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Pharmacy Meeting

When: Wednesday, November 28, 2018
2:00 PM to 4:00 PM
Where: BHC Large Conference Room
8888 Ladue Road
St. Louis, Missouri  63124
United States
Contact: Todd Boedeker

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Wednesday, November 28th

2:00 PM – 4:00 PM

BHC Large Conference Room

Value-Based Formularies: Where Cost & Clinical Effectiveness Meet

In August, CVS Health announced that it will now allow self-insured employers to exclude drugs from their formularies that launch at a price greater than $100,000 per quality-adjusted life-year (QALY), as calculated by the independent Institute for Clinical and Economic Review (ICER). ICER's methodology is similar to that used by the British National Institute for Health and Clinical Excellence (NICE) and bases recommendations on publicly-available, peer-reviewed reports, as well as insights from patients, clinicians, payers, the government, and other stakeholders. Will this move encourage pharmaceutical companies to reduce prices at launch? Will other Pharmacy Benefit Managers follow CVS' example? Join fellow BHC employer members for a special conversation with ICER's Founder and President, Dr. Steven Pearson, to learn about ICER's "value-based price benchmarks" and how employers, providers, and policymakers can translate this evidence into actions that lead to a more effective, efficient, and just health care system.

2:00 PM Welcome and Introductions
2:15 PM

Value-Based Formularies: Where Cost & Clinical Effectiveness Meet
Steven D. Pearson, MD, MSc
Founder & President, Institute for Clinical & Economic Review (ICER)

  • Learn about ICER's process for evaluating the clinical and cost effectiveness of drugs.
  • Discuss CVS' recent decision to allow value-based formularies and its potential impact on the market.
  • Hear about future areas of focus for ICER and trends for which employers should be prepared.
3:30 PM Member Dialogue & Questions
4:00 PM Adjourn

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