This presentation will share information on pharmacoeconomic evaluations currently used in practice and how they are utilized in coverage determinations. An overview of what a typical medication coverage process looks like and its implications for organizations will be provided. The Institute for Clinical and Economic Review’s (ICER) reports will also be discussed with their relevance in establishing cost-effective medication usage.

Microsoft Teams Meeting link to join the live session: Join the meeting now

Speaker:  Caitlin Bembenek, PharmD, PGY1 Managed Care Pharmacy Resident- Advocate Health Midwest Region

Objectives: ​​ 

  • Compare the various pharmacoeconomic evaluations currently used in practice
  • Recognize the Institute for Clinical and Economic Review’s (ICER) role in medication coverage determinations
  • Classify whether a medication would be covered under medical or pharmacy benefit
  • Identify ways pharmacoeconomic evaluations and coverage determination can impact organizations

Target Audience:​ Advocate Pharmacists, Physicians, Nurses, and other interested healthcare professionals

Disclosure:​ The planner(s) and speaker(s) have indicated that there are no relevant financial relationships with any ineligible companies to disclose. 

Session date: 
01/14/2025 - 12:00pm to 1:00pm CST
Location: 
Virtual via Teams
United States
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  • 1.00 AMA PRA Category 1 Credit™
    Aurora Health Care is accredited by the Wisconsin Medical Society to provide continuing medical education for physicians. Aurora Health Care designates this activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
  • 1.00 Attendance
    Attendance Credit
    • 1.00 Approved AMA PRA Category 1 Credit™
  • 1.00 Continuing Nursing Education (CE)
    Aurora Health Care is an approved provider of continuing nursing education by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 1.00 contact hours have been awarded to this activity by the Wisconsin Nursing Association. To receive contact hours, participants must attend the entire activity.
  • 1.00 Continuing Pharmacy Education (CPE)
    Aurora Health Care Department of Pharmacy Services is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

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