Formulary & clinical management
Formulary and clinical management services
Formulary and clinical management is both art and science. There’s more to it than efficacy, safety, and financials. Illuma Advisors considers the place your formulary and clinical offerings hold in the larger context of managed care delivery and drives that home through strategic formulary and clinical development and management.
Services tailored to your plan’s lives
PBMs and health plans like yours need customized formulary and clinical management. Your members aren’t off the shelf, so your clinical and formulary management approach shouldn’t be either. Our P&T committee, formulary, and clinical management services can help you design robust offerings to deliver the most clinically sound, cost-effective care to your members. Or you can adapt one of our Illuma Advisors’ formularies to fit your needs.
We’ll also help you with strategic thinking around your formulary, including pipeline review and reports, utilization management guidance (PA, step therapy, quantity limits), new drug reviews, and more.
How it works
Navigating the complexities of formulary and clinical management services requires specialized knowledge and a strategic approach. Here's our process:
Consultation: We begin with an in-depth consultation to understand your formulary and clinical philosophy and current challenges.
Research: Our team dives deep into current drug formularies, medication management standards, emerging trends, and regulatory requirements for your specific needs.
Recommendations: Based on our research and your unique requirements, we provide evidence-based recommendations for optimizing drug use, patient safety, therapeutic outcomes, and population management.
Implementation: With your approval, we assist in implementing these strategies, ensuring compliance and maximum efficacy for your patient population.
Continuous Monitoring: Our relationship doesn't end with implementation. We offer ongoing support and monitoring, adjusting strategies as the pharmaceutical landscape evolves.
We see all the angles and use that panoramic perspective to devise solutions that make sense for your plan and your members. Partner with us to ensure your formulary and clinical offerings operate at their highest potential, balancing cost-effectiveness with patient care.
