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HPA&E Studies : Journal Publications

Provider perceptions of pharmacy management: lessons from the military health system.

Author:Glassman PA, Tanielian T, Harris K, Suarez A, Baradley M, Atkinson SW, Davies W, Williams T.


Objective:
The objective of this study was to contrast experiences and opinion of providers in military treatment facilities, where a single formulary is used, with those of community providers where multiple formularies and preferred lists are commonly encountered.

Study Design:
We conducted cross-sectional surveys.

Setting:
The study was conducted at military and community practices that serve military beneficiaries.

Participants:
PARTICIPANTS: We studied randomly selected clinicians, stratified by military treatment facility (MTF) size or number of military beneficiaries served. The final samples included 566 eligible MTF and 557 private clinicians, with 69% and 38% response rates, respectively.

Outcome Measures:
We wanted to determine experiences with and opinions of formularies and/or preferred lists and related policies.

Results:
Sixty-three percent of military providers were very familiar with formulary content and 60% with nonformulary request procedures; 67% thought their formulary was up-to-date and 84% felt Pharmacy & Therapeutics (P&T) committees were responsive to providers. In contrast, 23% of community providers felt very familiar with (multiple) formulary content and 10% with nonformulary request procedures. Only 15% perceived that formularies were current and 34% thought P&T committees were responsive to providers. Statistically significant differences remained after analysis of potential bias.

Conclusions:
Community providers were less aware and less satisfied with pharmacy benefits management policies than military providers, likely as a result of their daily interactions with multiple, unrelated pharmacy management systems. Addressing the problems expressed by community providers is imperative for pharmacy benefits managers.

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