Day One - CT (Central Time)
Day One - CT (Central Time)
This workshop is the most requested, year-after-year at MDRP! Join us and our expert speakers for a full boot camp review!
- Miree Lee, MS, MBA - Bio/Pharma Pricing, Contracts & Compliance Consultant, M.Lee Consulting LLC
- Miree Lee, MS, MBA - Bio/Pharma Pricing, Contracts & Compliance Consultant, M.Lee Consulting LLC
- General metrics, pricing philosophy, interactive learning
- Marijo Bustos - Head of Government Pricing & Reimbursements, UCB, Inc.
- Scott Hoffman - Co-Founder & Head of Client Services, Woven Data
- Interaction between IRA and 340B –Internal Education for Partners
- Cynthia Goss - US Head Of Strategic Policy and Pricing, Insmed
Topics that may be covered include:
- Processing claims, bid cycles, best practices for different states
- How manufacturers can best present their products at P&T meetings
- Places of improvement for manufacturer reimbursement/processing claims
- How to work together as states and manufacturers most effectively
- Nicolette Dione, PharmD - Drug Rebate Services Manager, Gainwell Technologies
- Jodi Hettinga - Drug Rebate Specialist, Senior Professional Business Process Outsourcing, Pharmacy Benefit Management, Gainwell Technologies
- Cathy Burton-Meza - Associate Director, Government Rebates, Gilead Sciences
- Nichole Palusinski Pharm.D - Clinical Pharmacist, Drug Rebate Unit, Bureau of Budget and Cash Management, IL HFS Medicaid Drug Rebate Unit
- Ryan Bruce - Associate Director of Medicaid, AstraZeneca
- Josephine Hawkins - Associate Director, Medicaid, AstraZeneca
- Miree Lee, MS, MBA - Bio/Pharma Pricing, Contracts & Compliance Consultant, M.Lee Consulting LLC
- Judd Caulfield - Lead Counsel, Oncology Business Unit, Takeda Pharmaceuticals
- Lifecycle Product Pricing Considerations Pre-Launch From Exclusivity Period to Landscape in Five Years Based on Indication and State
- Sharon Small - Director, Counsel Market Access, Government Pricing & Policy, Novartis Pharmaceuticals Corporation
- Meena Datta - Partner, Sidley Austin LLP
The Town Hall features an open dialogue between manufacturers and States and may cover topic areas like:
- Processing claims, bid cycles, best practices for different states
- How manufacturers can best present their products at P&T meetings
- Places of improvement for manufacturer reimbursement/processing claims
- How to work together as states and manufacturers most effectively
- Nicolette Dione, PharmD - Drug Rebate Services Manager, Gainwell Technologies
- Jodi Hettinga - Drug Rebate Specialist, Senior Professional Business Process Outsourcing, Pharmacy Benefit Management, Gainwell Technologies
- Cathy Burton-Meza - Associate Director, Government Rebates, Gilead Sciences
- Nichole Palusinski Pharm.D - Clinical Pharmacist, Drug Rebate Unit, Bureau of Budget and Cash Management, IL HFS Medicaid Drug Rebate Unit
- Ryan Bruce - Associate Director of Medicaid, AstraZeneca
Join us for this deep dive workshop into the ever-changing active and pending SPTR laws from the legal and operational perspectives.
- Gregg Kasten - Vice President, Products and Services, ClassOne Insight
- Trevor Wear - Partner, Sidley Austin LLP
Objectives:
- Discuss elements of the pharmaceutical pricing agreement
- Describe 340B ceiling price calculation
- Identify pricing responsibilities with HRSA and wholesalers
Objectives:
- Understand the guidelines for refunds in the 340B Drug Pricing Program.
- Review the potential reasons necessitating both manufacturer and covered entities to conduct refunds.
- Learn about leading practices, considerations and potential obstacles in the refund process for both manufacturers and covered entities.
- Gain perspectives on good faith inquiries when potential discrepancies are discovered.
These one-on-one meetings are scheduled between manufacturers and States to discuss any issues or questions that have come up with rebates and reporting, etc.
- Nicolette Dione, PharmD - Drug Rebate Services Manager, Gainwell Technologies
- Jodi Hettinga - Drug Rebate Specialist, Senior Professional Business Process Outsourcing, Pharmacy Benefit Management, Gainwell Technologies
- Jeanine Lundeberg - Director, Pharmacy Rebate Management, Prime Therapeutics
- Dena Karels - CPhT Lead, Manager, Rebate Dispute Management, Prime Therapeutics
- Nichole Palusinski Pharm.D - Clinical Pharmacist, Drug Rebate Unit, Bureau of Budget and Cash Management, IL HFS Medicaid Drug Rebate Unit
- Oonagh O'Malley - Associate Director, Government Pricing & Reporting, Insmed Incorporated
- Learn how your peers are addressing SPTR management, operations, and compliance
- Gain more understanding of best practices that you can apply in your organization
- Hear perspectives on future developments
- John McGrory - Chief Executive Officer, ClassOne Insight
- Tracking legislation and implementing best practices at your company and scaling of efforts
- Privacy hot button issues
- Current litigation review
- What you need to report to what states and what information you need to back it up
- What manufacturers are standing against in SPTR and results
- Felecia Manning - Senior Director, Managed Markets Pricing & Government Programs, United Therapeutics Corporation
- Tiffany Frankson - Assistant General Counsel, Pricing and Access, Pfizer
Objectives:
- Discuss covered entity inventory management models and purchasing account setups
- Identify contracting methodologies and the procurement activities related to 340B program requirements
Objectives:
- Explain the types of contracts loaded to covered entity purchasing accounts and drivers of purchasing from different accounts
- Identify contracting methodologies and the procurement activities related to 340B program requirements
These one-on-one meetings are scheduled between manufacturers and States to discuss any issues or questions that have come up with rebates and reporting, etc.
- Nicolette Dione, PharmD - Drug Rebate Services Manager, Gainwell Technologies
- Jodi Hettinga - Drug Rebate Specialist, Senior Professional Business Process Outsourcing, Pharmacy Benefit Management, Gainwell Technologies
- Jeanine Lundeberg - Director, Pharmacy Rebate Management, Prime Therapeutics
- Dena Karels - CPhT Lead, Manager, Rebate Dispute Management, Prime Therapeutics
- Nichole Palusinski Pharm.D - Clinical Pharmacist, Drug Rebate Unit, Bureau of Budget and Cash Management, IL HFS Medicaid Drug Rebate Unit