South Carolina Department of Health and Human Services Post Office Box 8206 Columbia, South Carolina
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1 South Carolina Department of Health and Human Services Post Office Box 8206 Columbia, South Carolina Pharmacy and Therapeutics (P&T) Committee Meeting MINUTES 1. Call To Order A meeting of the P&T Committee convened at 4:00 p.m. on Wednesday, May 7, Welcome Debbie Tapley, R.Ph. called the meeting to order and welcomed members, guests, and staff members. Debbie Tapley opened the meeting by stating that the P&T Committee meetings are held in compliance with the Freedom of Information Act s (FOIA) mandate that the public is notified when the public s business is being done, and that furthermore, the public has been notified that this facility is accessible to individuals with disabilities, and special accommodations could have been provided if requested in advance. Mrs. Forkner thanked the committee for their service. She provided and update on the status of the budget for Medicaid for next fiscal year. The status of the budget for next year is in legislation and cuts are expected. 3. Committee Members Present: Ed Behling, M.D. Joe Horvath, M.D. Tan Platt, M..D. Jody Bolinger, M..D. Kelly Jones, Pharm.D. Charles Raine, M..D. Greg Browning, M.D. Jim Lindsay, M.D. Debbie Tapley, R.Ph. Charmaine George, M.D. George E. Vess, Pharm. D. DHHS Staff Present: Emma Forkner, Medicaid Director Felicity Meyers, Deputy Director James M Assey, R.Ph. Mike Blakely, R.Ph. Deidra Singleton, J.D. Byron Roberts, J.D. April Smith Other Representation: First Health Services. Mary Roberts, R.Ph. Pharmaceutical Industry Speakers P&T Committee Meeting Minutes Page 1 of 5
2 4. Discussion Topics A. Committee Meeting Minutes, Wednesday, February 6, The draft minutes from the previous P&T Committee meeting were ed to the members so that they could review the document prior to the meeting. The minutes were approved unanimously. B. Public Comment The rules for public comment were outlined. Debbie Tapley instructed the speakers that presentations would be limited to three minutes. The Committee members meeting packets included the speakers curriculum vitae and signed disclosure declaration forms that were submitted prior to the meeting. The following speakers (in order of appearance) discussed the drugs listed below. Company Speaker Drug Astra Zeneca Sonja Grooms-Smith Ph.D. Crestor Pfizer Henry Martin, M.D. Lipitor Merck/Schering Plough Green B. Neal, M.D. Vytorin Abbott Green B. Neal, M.D. Niaspan Abbott Green B. Neal, M.D. Simcor Sanofi Aventis Jeffrey Harless, Ph.D. Allegra Oral Suspension Sanofi Aventis Jeffrey Harless, Ph.D. Xyzal Actelion Karen Ward, Pharm.D. Tracleer Gilead Muhammed Ali Raza, M.D. Letairis Shire US Spencer Jenkins, M.D. Lialda Glaxo Smith Kline Michelle Welch, M.D. Altabax Pfizer Mark Lencke, M.D. Lyrica UCB Pharma Nigel Isaacs, J.D., Pharm.D. Keppra Abbott Christine Vaupel, M.D. Lamictal Public Comment Barbara Brothers, Director, Epilepsy Foundation of South Carolina Anticonvulsants. P&T Committee Meeting Minutes Page 2 of 5
3 C. Drug Classes for Review Mary Roberts, R.Ph., First Health Services Corporation, led the discussion for the following drug classes: Ulcerative Colitis Therapy Oral, Rectal The chart below represents the recommendations from the P & T Committee: SIMVASTATIN VYTORIN CRESTOR * ZETIA LIPITOR * ZOCOR * Crestor and Lipitor preferred with a step edit to look for simvastatin in patient history ADVICOR NIACOR NIASPAN SIMCOR LORATADINE ALLEGRA ZYRTEC CLARITIN CLARINEX FEXOFENADINE XYZAL *Allegra Oral Suspension allowed with a step edit to look for loratadine or Zyrtec in 30 days of history LORATADINE D ALLEGRA D ZYRTEC D CLARITIN D CLARINEX D TRACLEER LETAIRIS *Patients currently on Letairis will be grandfathered. P&T Committee Meeting Minutes Page 3 of 5
4 Ulcerative Colitis Therapy - Oral ASACOL COLAZAL BALSALAZIDE DISODIUM DIPENTUM PENTASA LIALDA SULFASALAZINE Ulcerative Colitis Therapy Rectal CANASA RECTAL SUPPOSITORIES MESALAMINE ENEMA MUPIROCIN ALTABAX BACTROBAN CREAM BACTROBAN OINTMENT IMITREX (ALL DOSAGE FORMS) AMERGE TREXIMET AXERT FROVA MAXALT MAXALT MLT RELPAX ZOMIG ZOMIG ZMT CELONTIN DEPAKENE DEPAKOTE DILANTIN * DEPAKOTE ER MYSOLINE DEPAKOTE SPRINKLE PHENYTEK ETHOSUXIMIDE ZARONTIN FELBATOL MEBARAL PHENYTOIN PHENYTOIN SODIUM EXTENDED RELEASE PRIMIDONE VALPROIC ACID *Dilantin is a narrow therapeutic agent and falls under the Brand Medically Necessary Policy addressed in the Medicaid Pharmacy Services Provider Manual. GABAPENTIN GABITRIL * KEPPRA NEURONTIN LAMICTAL ZONEGRAN LAMOTRIGINE LYRICA TOPAMAX ZONISAMIDE *Patients currently on Gabitril will be grandfathered. P&T Committee Meeting Minutes Page 4 of 5
5 5. Old Business 6. New Business Debbie Tapley announced the classes for review at the August Meeting: Oral Quinolones Long Acting Narcotics Nasal Steroids Sedative Hypnotics Prostaglandin Ophthalmics Hematopoietics Platele t Inhibitors Ophthalmic NSAIDs 7. Resolved Items Recommendations regarding PDL status for drugs in the following classes were approved for submission to DHHS. Ulcerative Colitis Therapy Oral, Rectal 8. Closing Comments The next meeting will be held on Wednesday, August 6, 2008 at 4:00 p.m. at the same location. 9. Adjournment The meeting adjourned at 6:55 p.m. P&T Committee Meeting Minutes Page 5 of 5
South Carolina Department of Health and Human Services Post Office Box 8206 Columbia, South Carolina
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