Troy Trygstad Education: Professional Associations/Activities: Honors and Achievements: Pharmacy Employment: Contracts/Employment:

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1 Troy Trygstad Education: University of North Carolina School of Pharmacy Pharmaceutical Outcomes and Policy: (Ph.D.) Drake University College of Pharmacy and Health Sciences: (Pharm.D.) Drake University College of Business and Public Administration: (M.B.A) Professional Associations/Activities: Peer Reviewer, American Journal of Managed Care: Peer Reviewer, Journal of Managed Care Pharmacy: Peer Reviewer, Value in Health: Assistant Track and Field Coach, University of North Carolina: American Pharmacists Association Member: , , North Carolina Association of Pharmacists Member: , Board Member: American Pharmacists Association Foundation Current Honors and Achievements: Triangle Business Journal 40 Under 40 Award: 2015 Drake University Young Alumni Achievement Award: 2011 Blanton Award for Greatest Contribution to North Carolina Pharmacy: 2011 AFPE Pre-Doctoral Fellowship Recipient: , Eli Lilly Award for Ethics, Scholarship and Leadership: 2002 Verizon/CoSIDA Academic All-American: 2001 Rho Chi Pharmacy Honors Fraternity inductee: 2001 Schering-Plough Scholar Award recipient: 1996, 2001 Pharmacy Employment: Vice President, Pharmacy Programs: Community Care of North Carolina: 2012-Current Director of Network Pharmacist Program, Community Care of North Carolina: Relief Pharmacist, Wal-Mart stores: 2002-Current Contracts/Employment: Analyst, Accesscare Inc., Morrisville, NC: Analyst, Navinet Corporation, Boston, MA: 2011-Current Analyst, Prematics Corporation, Vienna, VA: Analyst, Varolii Corporation, Seattle, WA: Analyst, Washington Pharmacy Consultants LLC, Clinton, WA: 2007 Analyst, North Carolina Medicaid Pharmacy and Therapeutics Committee: Analyst, North Carolina Senior Care Program, Raleigh, NC: 2005

2 Co-Editor: Pharmacy Times- Directions in Pharmacy Publication: 2013-Current Editor in Chief Pharmacy Times: 2016-Current Statistical Programming Proficiency: SAS (Statistical Analysis Software): 2002-Current STATA (Statistical Software for Professionals): 2002-Current Microsoft Reports Builder Reporting Services: 2007-Current Dissertation: Trygstad, T.K. (2006). An Analysis of the North Carolina Nursing Home Polypharmacy Initiative. (Doctoral Dissertation, University of North Carolina at Chapel Hill, 2006). UMI Dissertation Abstracts International, Publications: 1. Steiner B, Weir S, Trygstad T, Cost savings and patient-centered medical homes. Health Affairs (Millwood) Dec;31(12): Trygstad T, A series of well-coordinated dismounts. N C Med J Jan-Feb; 73(1): Wegner S, Trygstad TK, Dobson A, Lawrence W, Steiner B. A Physician Friendly Alternative to Prior Authorization for Prescription Drugs. American Journal of Managed Care. Am J Manag Care Dec 1;15(12):e Trygstad TK, Christensen D, Garmise J, Sullivan R, Wegner S. An Analysis of the North Carolina Long-Term Care Polypharmacy Initiative: A Multiple Cohort Approach Using Propensity Scored Matching for Both Evaluation and Targeting. Clinical Therapeutics. Clin Ther Sep;31(9): Trygstad T, The role of the pharmacist in CCNC. NC Med J.2009 May-Jun;70(3): Christensen DB, Roth M, Trygstad T, Byrd J. Evaluation of a pilot medication therapy management project within the North Carolina State Health Plan. J Am Pharm Assoc (2003) Jul-Aug;47(4): Trygstad TK, Hansen R, Wegner SE. Evaluation of product switching after a state Medicaid program began covering loratadine OTC 1 year after market availability. J Manag Care Pharm Mar;12(2): Trygstad TK, Christensen D, Garmise J, Sullivan R, Wegner S. Pharmacist response to alerts generated from Medicaid pharmacy claims in a long-term care setting: results from the North Carolina polypharmacy initiative. J Manag Care Pharm Sep;11(7): Christensen DB, Trygstad TK, Garmise J, Sullivan R, Wegner SE. A Pharmacy Management Intervention for Optimizing Drug Therapy for Nursing Home Patients. American Journal of Geriatric Pharmacotherapy. Dec 2004; vol 2, no Thorpe JM, Smith SR, Trygstad TK. Trends in emergency department antibiotic prescribing for acute respiratory tract infections. Ann Pharmacother Jun;38(6): Epub 2004 Apr 20.

3 9. Pandit N, Trygstad T, Croy S, Bohorquez M, Koch C. Effect of Salts on the Micellization, Clouding, and Solubilization Behavior of Pluronic F127 Solutions. J Colloid Interface Sci Feb 15;222(2): Presentations: 1. Trygstad TK. The Role of the Health System Pharmacist in Accountable Care Organizations. IDN Summit, Pheonix, AZ. September Trygstad TK. Needs, Advantages and Limitations of Health Outcomes Research in an Accountable Care Organization. Seminar Presentation, UNC School of Pharmacy. September Trygstad TK, Bujold E, Williams N, Robertson S, Kinney D, Rose M. Right Intervention, Wrong Setting? A Multisite Evaluation of an Enhanced, Community-based Medication Reconciliation Program. Podium Presentation at the Society of Teachers of Family Medicine, Conference on Practice Improvement, Kansas City, MO. November Trygstad TK Opportunities for Pharmacies in Accountable Care Organizations. Podium Presentation at the NACDS Pharmacy and Technology Conference, Boston, MA. August Trygstad TK Emerging Pharmacist Service Models. Podium Presentation at the Washington State Pharmacists Association Annual Meeting. Tulalip, WA. November Christensen D, Trygstad TK Trends in health care technology: Impact on patients and the pharmacist. Podium Presentation at the Washington State Pharmacists Association Annual Meeting. Tulalip, WA. November Trygstad TK, Hansen R The Effects of Coverage and Non-Coverage of Over-the-Counter Loratadine on Switching Behavior in a Medicaid Population. Podium presentation at the American Pharmacists Association (APhA) Annual Meeting, Orlando, FL. April Trygstad TK The North Carolina Long Term Care Polypharmacy Initiative North Carolina Association of Pharmacists (NCAP) Annual Meeting. Research Triangle Park, NC. November Trygstad TK, Sullivan R. Methodological Challenges of Pharmaceutical Research in the Long Term Care Arena: Experiences with the North Carolina PolyPharmacy Initiative. Geriatric Research Roundtable. Duke University Medical Center. Durham, NC. September Hansen RA, Trygstad TK. The Effect of Medicaid Coverage Decisions on Non-Sedating Antihistamine Utilization and Spending Following Over-the-Counter Availability of Loratadine. Poster Presentation at the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Annual Meeting. Washington D.C. May Hansen RA, Trygstad TK. The Effect of Medicaid Coverage Decisions on Non-Sedating Antihistamine Utilization and Spending Following Over-the-Counter Availability of Loratadine. Podium Presentation at the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Annual Meeting. Washington D.C. May Trygstad TK, Christensen DB, Garmise J. Drug therapy cost savings and quality initiatives directed at Medicaid recipients in North Carolina nursing homes. Podium Presentation at the American Pharmacists Association (APhA) Annual Meeting, Seattle, WA. March 2004.

4 13. Trygstad TK, Garmise J. Development and implementation of a web-based tool to alert, document, and compensate consultant pharmacists under a polypharmacy drug use review program. Poster Presentation at the American Pharmacists Association (APhA) Annual Meeting, Seattle, WA. March Trygstad TK, Christensen DB. Early results from the NC Medicaid nursing home polypharmacy initiative project. Podium presentation at the American Society of Consultant Pharmacists (ASCP) Annual Meeting. San Antonio, TX. November Committees: North Carolina Health Information Exchange: Legal and Policy Workgroup: 2010 Division of Medical Assistance Care Coordination Strategy Group, North Carolina Division of Medical Assistance: 2009-Current Technical and Operations Committee, North Carolina Healthcare Information and Communication Alliance: 2009-Current Medication Therapy Management Taskforce, North Carolina Association of Pharmacists: Polypharmacy Workgroup: Aged, Blind and Disabled Project, North Carolina Division of Medical Assistance: 2006 Masters of Science in Pharmacy Administration Advisory Committee, UNC School of Pharmacy: 2005-Current Panels: Expert Roundtable: Strategies to Improve Patient Medication Adherence for Chronic Disease, New England Healthcare Institute, Boston MA July 2009 Conference on Medication Adherence: Rand/Avalere, Washington DC July 2009 Duke clinical Research Institute Conference on Adherence, Washington DC October 2010 Teaching Experience: Site Coordinating Preceptor, Non-Patient Care Rotation, Drake University School of Pharmacy: Spring Teaching Assistant, Pharmacy Operations, UNC School of Pharmacy: Spring 2004 Teaching Assistant, Pharmacy as a Health Profession, UNC School of Pharmacy: Fall 2003 Ongoing Projects: 1. The Chronic Care Initiative-Medication Reconciliation Plus Initiative (Project Director) --This is an expansion of the Pharmacy Home Project that gathers information from case managers in hospitals, case mangers doing home visits and clinical pharmacists embedded in primary care practices to compare drug use information versus fill history to create a summary document for clinicians as a Medical Home activity.

5 2. The North Carolina E-prescribing Initiative (Project Director) This is a multistakeholder project to increase e-prescribing adoption in hospitals and clinics in North Carolina this utilized eight in-the-field e-prescribing facilitators to provide promotion, education and support for e-prescribing adoption and persistence. 3. The Pharmacy Home Project (Project Director) - This project aimed to create a Pharmacy Home, virtual or otherwise, where drug use information from multiple sources is gathered to better inform prescribing and intervention strategies. Thirty-five pharmacists and over 600 case managers under the direction of Community Care of North Carolina (CCNC) are now engaged in the project across the state of North Carolina. (October 2006-Current) 4. The Instant Approval Evaluation and Improvement Project (Project Director) - Beginning June 1, of 2007 North Carolina Medicaid implemented a unique prior authorization program. This program allowed the prescriber to hand write on the prescription that criteria which exempted a patient from the traditional prior authorization process and allowed the pharmacist to override the prior authorization at the point of sale. The primary goal of this novel program was to reduce the length of gaps in therapy. (June June 2008) 5. A+KIDS (Collaborator)- A collaboration between the North Carolina Division of Health and Human Services and Community Care of North Carolina and Infina technology group to create a documentation and care coordination tool that is plugged into the point of sale for pharmacy overrides when proper documentation is entered into an online patient registry. Software Development Projects: 1. InterventR x (Project Consultant) - InterventR x was built for use in the North Carolina Nursing Home Polypharmacy Initiative. The software provided pharmacy claims information to consultant pharmacists to guide value-added drug regimen reviews. Pharmacists were able to submit pending and completed interventions and bill for the service using the software. (April December 2003) 2. The Pharmacy Home (Electronic Pharmacy Record) (Co-Designer) - The Pharmacy Home Project Software is being developed to create a customizable electronic pharmacy record that combines drug use information from multiple sources (medical chart, administrative claims, retail pharmacist and patient interview). It has been developed as an online-offline application to enable consultant pharmacists to work with patients regardless of setting (clinic, patient home, or in-transit). The application and the underlying databases support CCNC s Pharmacy, Care Management and Provider Portals. (October 2006-Current)