Who calls the shots within pharmacy and therapeutics (P&T) committees? A recent survey of P&T committee members published in the September issue of Formulary, shows that only a few key players do.
Eighty percent of respondents said that pharmacy/formulary directors in hospital and managed care settings have the most influence in the decision making process, followed by staff/participating physicians, medical directors, and clinical pharmacy specialists, in varying order, depending on the setting.
Although 23 percent of those surveyed deny that nurses on the committee exert any meaningful influence, nurses who were not members were judged to have a moderate impact on decisions because of presentations they make to, and research they conduct for, the committee.Despite the rise in corporate belt-tightening and employee cost-sharing, more than 90 percent of respondents said employers and benefits managers have virtually no influence on the decision making process. Patients, or, enrollees, were deemed more influential in the managed care setting than they were in hospital and health system settings.
Pharma companies have taken the data seriously-14 out of the 38 responding to Scott-Levin's survey plan to expand their managed care sales forces.