South Carolina Department of Health and Human Services Post Office Box 8206 Columbia, South Carolina

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South Carolina Department of Health and Human Services Post Office Box 8206 Columbia, South Carolina 29202-8206 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 3, 2017. 2. Welcome Edward Behling, MD, called the meeting to order and welcomed members, guests, and staff members. Dr. Behling 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. 3. Committee Members Present: Kashyap Patel, MD Philip Mubarak, MD Thomas Phillips, RPh Tan Platt, MD Edward Behling, MD Gregory Browning, MD Cheryl Hartvigsen, RPh Joni Bollinger, MD SC DHHS Staff: Bryan Amick, PharmD, MBA Jim Bradford, MD Janet Giles Constance Holloway, JD Magellan Medicaid Admin: Lisa Correll, PharmD Lori Ash 4. Discussion Topics A. Committee Meeting Minutes, Wednesday, November 2, 2016 The draft minutes from the previous P&T Committee meeting were emailed to the members so that they could review the document prior to the meeting. The minutes were approved unanimously. P&T Committee Meeting Minutes Page 1 of 5

B. Public Comment Company Speaker Drug/Class Boehringer Ingelheim Julie O Malley COPD Otsuka Jason Swartz, RPh, MBA Antipsychotics, Oral C. Drug Classes for Review Lisa Correll led the discussion for the following drug classes: Classes for Re-Review Respiratory, Anticholinergics (COPD) GI Motility, Chronic Antidepressants, SSRIs Statins Antipsychotics, Oral Growth Hormone Epinephrine, Self-Injected The chart below represents the recommendations from the P & T Committee: Atrovent HFA Spiriva Handihaler Stiolto Respimat RESPIRATORY, ANTICHOLINERGICS (COPD) Anoro Ellipta Bevespi Aerosphere Combivent Respimat Daliresp Incruse Ellipta Seebri Neohaler Spiriva Respimat Tudorza Pressair Utibron Neohaler Amitiza Linzess Movantik GI MOTILITY, CHRONIC Lotronex Relistor Viberzi Xifaxan P&T Committee Meeting Minutes Page 2 of 5

Citalopram Escitalopram Fluvoxamine Fluoxetine Paroxetine IR Sertraline ANTIDEPRESSANTS, SSRIs Celexa Lexapro Paxil CR Paxil Pexeva Prozac/Prozac weekly (60mg/90mg) Sarafem Sertraline Trintellix Zoloft Atorvastatin Lovastatin Pravastatin Rosuvastatin Simvastatin STATINS Altoprev Crestor Lescol XL Lipitor Pravachol Vytorin Zocor Aripiprazole tabs Clozapine Latuda Olanzapine Quetiapine Risperidone Saphris Ziprasidone caps ANTIPSYCHOTICS, ORAL Abilify Clozaril Fanapt+ Fazaclo Geodon Invega Nuplazid Rexulti Risperdal Seroquel Seroquel XR Symbyax Versacloz Vryalar Zyprexa GROWTH HORMONE P&T Committee Meeting Minutes Page 3 of 5

Genotropin (Cartridge/syringe) Norditropin Pen Humatrope Nutropin AQ+ Omnitrope Saizen Zomacton Zorbtive Epinephrine 0.3mg (AG) Epinephrine 0.15mg (AG) Indicates Added as + Indicates Moved to 5. Old Business None EPINEPHRINE (INJECTABLES) Adrenaclick Auvi-Q Epi Pen / Epi Pen Jr+. 6. New Business Lisa presented new drugs to market. Bryan advised the Committee of organizational changes. Former Director, Christian Soura, resigned as of April 7, 2017. Deidre Singleton is the acting Director and Bryan will fill the acting Deputy Director position. Bryan also advised the Committee that effective July 1, 2017 all smoking cessation agents will be available with no prior authorization (PA) and no copay requirements. The monthly script limitations will be eliminated effective July 1, 2017 as well. Treatment of opioid abuse (MAT) will be moving to a protected class as well. P&T will develop a sub-committee to open discussions. 7. Resolved Items Recommendations regarding PDL status for drugs in the following classes were approved for submission to DHHS. Classes for Re-Review Respiratory, Anticholinergics (COPD) GI Motility, Chronic Antidepressants, SSRIs Statins Antipsychotics, Oral Growth Hormone Epinephrine, Self-Injected P&T Committee Meeting Minutes Page 4 of 5

8. Closing Comments The next meeting will be held on Wednesday, June 7, 2017, at 4:00 p.m. Note: Meeting moved to September 6, 2017. 9. Adjournment The meeting adjourned at 5:45 p.m. P&T Committee Meeting Minutes Page 5 of 5