Idaho Admin. Code r. 16.03.09.666

Current through September 2, 2024
Section 16.03.09.666 - PRESCRIPTION DRUGS: QUALITY ASSURANCE
01.Pharmacy And Therapeutics Committee (P&T Committee).
a. Membership. The P&T Committee is appointed by the Director and is composed of practicing pharmacists, physicians and other licensed health care professionals with authority to prescribe medications.
b. Function. The P&T Committee has the following responsibilities for the prior authorization of drugs under Section 663 of these rules:
i. To serve in evaluational, educational and advisory capacities to the Idaho Medicaid Pharmacy Program specific to the prior authorization of drugs.
ii. To review evidence-based clinical and pharmacy economic data and recommend to the Department preferred and non-preferred drugs in classes designated for the Idaho Medicaid Preferred Drug List.
iii. To recommend to the Department the classes of medications to be reviewed through evidence-based evaluation.
iv. To review drug utilization outcome studies and intervention reports from the Drug Utilization Review Board as part of the process of reviewing and developing recommendations to the Department.
c. Meetings. The P&T Committee meetings will be open to the public and a portion of each meeting will be set aside to hear and review public comment. The P&T Committee may adjourn to executive session to consider the following:
i. Relative cost information for prescription drugs that could be used by representatives of pharmaceutical manufacturers or other people to derive the proprietary information of other pharmaceutical manufacturers; or
ii. Participant-specific or provider-specific information.

Idaho Admin. Code r. 16.03.09.666

Effective March 17, 2022