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TRANSCRIPT
PCMA MEMBERS
Welcome to the sPCMA Business Forum
The sPCMA Business Forum offers invaluable networking and education for individuals involved in specialty benefit management including executives from the largest specialty pharmacies and PBMs as well as from drug and biotech manufacturers, consulting companies, industry analysts and investors, and other important stakeholders.
Challenges persist in pharmaceutical innovation, affordability, and access, and working together has never been more important. We hope the interaction and dialogue that take place at this event further enable collaboration that lead to solutions so many are seeking from us.
A few highlights you won’t want to miss:
» Education: Our speakers are among the industry’s top thought leaders. The schedule includes strategic general sessions and focused breakout sessions that drill down into specific business practices and dynamics. Continuing Pharmacist Education is offered and is designated with a CPE icon in the schedule.
» Networking and Meetings: The agenda is designed to offer significant opportunities for private meetings and networking.
– Evening receptions will take place both days of the conference.
– Select PBM members host networking events during breakfast and lunch.
– The PCMA Women’s Leadership Forum breakfast will take place for the second year.
– Private meeting rooms are available to PCMA members and conference sponsors. As veteran attendees know, private meetings are a core value of the conference.
» Conference App: Be sure to download the conference app to enhance your on-the-ground experience. The app allows you to access the attendee list, send messages to other attendees, manage a personalized schedule, view hotel maps, and live stream the general sessions. Turn to page 14 of this program for more information.
Thank for you coming to this year’s sPCMA Business Forum.
CONTENTS
3 Agenda
8 Maps
12 General Information
16 Participating Companies
20 CPE Information
22 PCMA Board of Directors
24 sPCMA Board of Directors
26 PCMA Staff
27 Conference Sponsors
30 PCMA Affiliates
Agenda 3
AGENDA
MONDAY, MARCH 11
6:30 am – 7:00 pm
Registration Open
Bonnet Creek Foyer & Floridian Foyer
7:00 am – 6:30 pm Private Meeting Rooms Open
7:00 am – 8:45 am
Women’s Leadership Breakfast
Floridian I
Lida Etemad, Vice President, E&I and C&S Pharmacy Management, UnitedHealthcare
Karen Hough, Founder & Chief Executive Officer ImprovEdge
Christine Marsh, Vice President, Market Access Boehringer Ingelheim
7:00 am – 9:00 am
Networking Breakfast
Bonnet Creek III
9:00 am – 12:00 pm
General Sessions
Bonnet Creek Ballroom
Conference Moderator: Betty Nguyen, Anchor & Journalist, NBC News & MSNBC
9:00 am – 9:30 am
Welcome & Opening Remarks
JC Scott, President & Chief Executive Officer, PCMA
HHS’s Proposed Rebate Rule: Implications to the Drug Supply Chain
Ian Spatz, Senior Advisor, Manatt Health
9:30 am – 10:00 am
American Patients First Blueprint Discussion and Update
John O’Brien, Senior Advisor to the Secretary for Drug Pricing Reform, U.S. Department of Health and Human Services
Moderator: Kristin Bass, Chief Policy and External Affairs Officer, PCMA
4 Agenda
MONDAY, MARCH 11 (continued)
General Sessions (continued)
10:00 am – 10:45 am
The Future of PBM-Pharma Relations and Negotiations
Dave Moules, Vice President, U.S. Payer and Channel Access, Pfizer
Everett Neville, Executive Vice President & Chief Value Officer, Express Scripts
Brendan O’Grady, Executive Vice President, North America Commercial, Teva Pharmaceuticals
Kent Rogers, Senior Vice President, Chief Formulary and Procurement Officer — Industry Relations OptumRx
Moderator: Ian Spatz, Senior Advisor, Manatt Health
10:45 am – 11:15 am
The Biggest Disruptor in Healthcare is…
Lisa Gill, Managing Director, Senior Analyst Equity Research, Healthcare Services — Technology, Distribution & PBMs, JPMorgan
11:15 am – 12:00 pm
Specialty Pharmaceuticals: Trends & Outlook
Doug Long, Vice President, Industry Relations IQVIA
12:00 pm – 1:30 pm
Member Company Lunch Receptions
Humana Pharmacy Solutions: Floridian F
Prime Therapeutics: Floridian I
Networking Lunch: Floridian L
1:30 pm – 2:00 pm Breakout Sessions (two concurrent)
0.050
Bonnet Creek XI
Medicare Part B Step Therapy: The Evolution of Evidence Based and Patient-Centered Medication Management
Bethanie Stein, Vice President, Strategic Contracting, Purchasing, and Analytics Humana Pharmacy Solutions
0.050
Floridian B
What’s Trending for Pharmacy?
Farrah Wong, Senior Director, Commercial Formulary Contracting Strategy, OptumRx
Agenda 5
2:00 pm – 2:15 pm Break
2:15 pm – 2:45 pm Breakout Sessions (two concurrent)
0.050
Bonnet Creek XI
Optimizing Healthcare Value in the U.S. — Can it be Done?
Kjel Johnson, Vice President, Specialty Strategy and Client Solutions, CVS Health
0.050
Floridian B
A Novel Approach to Linking Pharmaceutical Pricing and Value Assessments to Evolving Evidence
Larry Blandford, Executive Vice President, Customer Solutions, Precision Value & Health
2:45 pm – 3:00 pm Break
3:00 pm – 3:30 pm Breakout Sessions (two concurrent)
0.050
Bonnet Creek XI
Value Based Contracting: Did We Accomplish What We Set Out To Do?
Lisa Carman, Vice President, Value Based Contracting, Optum Life Sciences
0.050
Floridian B
The Use of Evidence Platforms and AIML to Follow Specialty Populations
Ken Park, Vice President, Real-World and Analytic Solutions, Offering Development, IQVIA
3:30 pm – 6:30 pm Open time for private meetings
6:30 pm – 9:00 pm
Cocktail and Dinner Reception with Live Music
Signature Island
6 Agenda
TUESDAY, MARCH 12
7:00 am – 4:00 pm
Registration Open
Bonnet Creek Foyer & Floridian Foyer
7:00 am – 8:00 pm Private Meeting Rooms Open
7:30 am – 9:00 am
Member Company Breakfast Receptions
Magellan Rx Management: Floridian F
OptumRx: Floridian I
Networking Breakfast: Floridian L
9:00 am – 11:30 am
General Sessions
Bonnet Creek Ballroom
Conference Moderator: Betty Nguyen, Anchor & Journalist, NBC News & MSNBC
9:00 am – 9:30 am
Pharma Executive Session
Duane Barnes, President, Head of U.S. Operations UCB
Moderator: Jim Hill, President, Pharma Strategy Group
9:30 am – 10:00 am
PBM Executive Session
John Prince, Chief Executive Officer, OptumRx
10:00 am – 10:45 am
Specialty Pharmacy Industry Landscape Discussion
Jon Gavras, Senior Vice President, Chief Medical Officer, Prime Therapeutics
Bill Martin, Vice President/General Manager & Chief Commercial Officer, Accredo
Moderator: Dean Erhardt, President & Chief Executive Officer, D2 Consulting
10:45 am – 11:30 am
Ensuring Value in Paying for Ultra Expensive, Gene and Curative Therapies
Jim Clement, Senior Partner, Coeus Consulting Group
Gina Guinasso, Senior Vice President, Commercial and Medicare Formulary Contracting Strategy OptumRx
Rich O’Neal, Vice President, Market Access Regeneron
Moderator: Tom Knox, President, Fathom Healthcare Solutions
Agenda 7
11:30 am – 11:45 am Break
11:45 am – 12:15 pm Breakout Sessions (two concurrent)
0.050
Bonnet Creek XI
Navigating the Patient Journey
Candice Michaelson, Vice President, Supply Chain Strategy, Express Scripts
Matt Perlberg, Vice President, Supply Chain Strategy, Express Scripts
0.050
Floridian B
Trends and Considerations in a Consumer Engagement World
Dean Erhardt, President & Chief Executive Officer D2 Consulting
12:15 am – 1:45 pm
Member Company Lunch Receptions
CVS Health: Floridian F
Express Scripts: Floridian I
Networking Lunch: Floridian L
1:45 pm – 2:15 pm Breakout Sessions (two concurrent)
0.050
Bonnet Creek XI
Medical Versus Pharmacy Review of Specialty Conditions: Costs, Utilization, and Focus on Oncology and HIV
Rochelle Henderson, Vice President, Clinical Research, Express Scripts
0.050
Floridian B
Five Digital Trends That Will Transform the Pharmacy Business
Harry Travis, President & Chief Executive Officer etectRx
2:15 pm – 8:00 pm Open time for private meetings
8:00 pm – 10:00 pm
Cocktail and Dessert Reception
MYTH Lobby Bar & Terrace
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12 GeneralInformation
GENERAL INFORMATION
RegistrationThe PCMA registration desks will be open during the hours listed below. Should you have any questions, please stop by one of two locations and staff will be able to assist you.
Sunday, March 10 5:00 pm – 8:00 pmBonnet Creek Foyer
Monday, March 11 6:30 am – 7:00 pmBonnet Creek Foyer & Floridian Foyer
Tuesday, March 12 7:00 am – 4:00 pmBonnet Creek Foyer & Floridian Foyer
If you require a copy of your registration confirmation, receipt of payment or invoice, please email Shelly O’Neill at [email protected].
SecurityIn order to provide a secure environment, conference participants MUST wear name badges when attending any conference function including sessions, meals, evening receptions, and private meetings in member and sponsor meeting room facilities. Security will monitor entrances to all conference activities.
InternetComplimentary Wi-Fi is available throughout both hotels and in the guestrooms. In the conference center and meeting rooms, please use the password spcma2019 to access the Wi-Fi. It can be accessed without a password while in the lobby and other public spaces.
LivestreamingGeneral session will be live-streamed via the mobile app and on a monitor located in the Bonnet Creek North Foyer.
GeneralInformation 13
PresentationsPresentations authorized for distribution will be posted online after the conference. Attendees will be notified by email once presentations are available.
PhotographyProfessional photographs taken during the conference may be posted online and/or printed in future materials.
DisclaimerThe opinions expressed by program participants are those of the individual presenters. They do not necessarily reflect the views of PCMA or its members.
Attendance at a Pharmaceutical Care Management Association (PCMA) meeting or event includes the limited, non-exclusive, revocable, and nontransferable right and license to use any PCMA materials, whether written, oral or electronic, made available by PCMA to the attendees for informational or personal use purposes only. PCMA reserves all other rights. PCMA or its licensors own all rights in and to all of its presentations, content, designs, methodologies, processes, programs, products, information, and documentation. PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION, PCMA and all other names, logos, and icons identifying PCMA and its products and services are proprietary trademarks of PCMA, and any use of such marks without the express written permission of PCMA is strictly prohibited.
Download the Conference App
View the conference attendee list
Message with other attendees
Review the agenda and create a personalized schedule
Access hotel maps and meeting room locations
Receive real-time conference updates
Livestream the General Session
If you experience issues or have questions please stop by the PCMA App Help Desk
located in the Conference Center.
Search PCMA Events in your device’s App Store or Google Play.
16 ParticipatingCompanies
PARTICIPATING COMPANIES
Abbott Diabetes Care
Abbott Laboratories
AbbVie
ACADIA
AcariaHealth
Accredo
Acer Therapeutics
Acorda Therapeutics
Actelion
Advantage Point Solutions
Aerie
AGIOS
Aimmune Therapuetics
Alder BioPharmaceuticals
Alexion
Alkermes
Allergan
Almirall
Alnylam
Amarin
Amber Pharmacy
AmerisourceBergen
Amgen
Amicus Therapuetics
Amneal
Anthem
Aquestive Therapeutics
Arbor
Archbow Consulting LLC
ARKRAY USA
Artia Solutions
Asembia
Assertio Therapeutics
AssistRx
Astellas Pharma US, Inc.
AstraZeneca
Athenex Oncology
Avanir
Avella
AveXis
Bank of America
Bausch Health
Bayer U.S.
Becton Dickinson
Biogen
Biohaven
BioMarin
BioMatrix Specialty Pharmacy
BioPlus Specialty Pharmacy
Bioventus
Blue Cross Blue Shield Association
Blue Fin Group
Boehringer Ingelheim
Boston Biomedical
Bowler and Company
Braeburn
Bristol-Myers Squibb
Business One Technologies
CastiaRx
Catalyst
Celgene
Cigna
Cigna Specialty Pharmacy
Circassia
Coeus Consulting Group
Coherus Biosciences
Collegium
ParticipatingCompanies 17
Corsica Life Sciences
CoverMyMeds
Creehan & Company, Inc., an Inovalon Company
CSL Behring
Curant Health
CVS Health
D2 Consulting
Daiichi Sankyo
DBV Technologies
Decision Resources Group
Deloitte Consulting LLP
Dendreon
Dermira
Dexcom
Diplomat Pharmacy
Dova
Eisai
electroCore
EMD Serono
Encore Dermatology, Inc.
Endo
EnvisionPharmacies
EnvisionRx
Envolve Pharmacy Solutions
Esperion Therapeutics
etectRx
evicore
Exelixis
Express Scripts
EyePoint
Eyevance
Fairview Pharmacy Services
Fathom Healthcare solutions, Inc.
Ferring
Flexion Therapeutics
Foley Hoag LLP
Fresenius Medical Care
Genentech
Gilead
GlaxoSmithKline
Glenmark Therapeutics Inc.
Global Blood Therapeutics
Greenwich Biosciences
Grifols
Harmony Biosciences
Harrison Consulting
Henry Ford Health System
Heron Therapeutics
Hikma
Horizon Pharma
HPC Specialty Pharmacy
Humana Pharmacy Solutions
Humana Specialty Pharmacy
ImprovEdge
Incyte
Indivior
Inside Rx
Insmed
Insulet
INSYS Therapeutics
Intercept
Intersect ENT
IPD Analytics
Ipsen
IQVIA
J. Miller Consulting
J.P. Morgan
Janssen
Jazz
JM Drew
Johnson & Johnson
18 ParticipatingCompanies
Johnson & Johnson Health Care Systems
Kadmon
Kala
Kaleo
Karyopharm
Keryx is now Akebia Therapeutics
Kite
Kowa
Kyowa Kirin
LEO Pharma
Lilly USA
Loxo Oncology
Lundbeck
Lupin Pharmaceuticals
Magellan Rx Management
Mallinckrodt
Manatt Health
MannKind Corporation
Maxor National Pharmacy Services
Mayne Pharma
Medac Pharma
Medical Marketing Economics (MME)
MedImpact Healthcare Systems, Inc.
Meijer
Merck
Merz Pharmaceuticals
Milliman
Mitsubishi Tanabe Pharma America
Nabriva Therapeutics
Nalpropion
Navitus Health Solutions
NBC News & MSNBC
Neureils
Neurocrine Biosciences
Novartis Oncology
Novartis Pharmaceutical Corporation
Novo Nordisk
Omeros Corporation
Onco360 Oncology Pharmacy
Opko Pharmaceuticals
Optinose
Optum Life Sciences
OptumRx
Orexo
Otsuka
PANTHERx Specialty Pharmacy
Paratek Pharmaceuticals
ParcelShield
Partner Therapeutics
PerformSpecialty
Pfizer
Pharma Strategy Group
Pharmacyclics
Pharming Healthcare
Pierre Fabre
Prasco
Precision for Value
Precision Value & Health
Prescient Healthcare Group
Prime Therapeutics
Progenics
Promius Pharma
Protean LLC
PruGen Pharmaceuticals
Purdue
Radius Health
ReCept
Regeneron
Reliance Rx
ParticipatingCompanies 19
Relypsa
RemedyOne
Sage Therapeutics
Sandoz
Sanofi
Sanofi Genzyme
Sarepta Therapeutics
Scilex Pharmaceuticals
Sebela Pharmaceuticals
Serve You Rx
Shionogi Inc.
SK Life Science
SMP Pharmacy Solutions
Sobi
Spark Therapeutics
Spectrum Pharmaceuticals
Stallergenes Greer
Sun Pharma
Sunovion
Supernus
Synergy
Takeda
Takeda Oncology
Tandem Diabetes
TerSera Therapeutics
TESARO
Teva Pharmaceuticals
TGaS Advisors
The George Washington University
TherapeuticsMD
Theratechnologies
Trialcard
Trividia Health
Truepill
U.S. Department of Health and Human Services (HHS)
UBC
UCB
Ultragenyx
uniQure
United Therapeutics
UnitedHealth Group
UnitedHealthcare
Upstream Partners
US Bioservices
US WorldMeds
Valeritas
ValoremRx
Veloxis
Verrica
Vertex
Vertical
ViiV Healthcare
Viking Healthcare Solutions
Vivaleas
Vyera
Walgreens Boots Alliance
WellDyneRx
Zimmer Biomet
Zitter Health Insights
Participating Companies as of 2.26.19.
20 CPEInformation
CPE INFORMATION
PCMA is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education (CPE). The 2019 sPCMA Business Forum agenda currently includes 10 CPE-eligible sessions. Because sessions are scheduled
concurrently, individuals may obtain up to 2.5 total contact hours or 0.25 Continuing Education Units (CEUs) of education.
All sessions eligible for CPE credit are designated by in the agenda.
Target AudienceAll PCMA-offered CPE sessions are designed to be knowledge-based (K) activities for pharmacists (P). These sessions are designed to add to or enhance participants’ knowledge of issues relevant to various pharmacists’ career settings, including specialty pharmacy, and the business strategies that impact them.
PCMA-offered CPE sessions are designed to meet the educational needs of pharmacists from specialty pharmacies, PBMs, payer organizations, drug manufacturers, and numerous other specialty pharmacy stakeholders and service companies. Educational sessions are designed for those new to the business of specialty pharmacy, as well as for more season veterans.
Obtaining CreditAs of January 1, 2013 a system called the CPE Monitor, a joint collaboration between ACPE and NABP, became mandatory for all CPE providers and pharmacists to submit and receive CPE credit. The CPE Monitor allows providers to submit attendee lists online. The system communicates this information to NABP, which then communicates it to state boards of pharmacy electronically, removing the need for pharmacists to submit individual statements of credit.
In order to receive credit for attending accredited CPE offerings, you must have an e-profile ID number (e-PID) provided by NABP. If you have not yet obtained your NAPB e-PID or have questions about this system, please contact NABP customer service directly at 847.391.4406.
CPEInformation 21
At the conference: In order to obtain CEUs, please have your name badge scanned in each breakout session that you attend. A representative will be present in the back of each room to scan badges and answer any questions. Further questions can be directed to Kristen Pumphrey at [email protected].
After the conference: Be on the lookout for post-conference communications from PCMA. Depending on the session(s) you attended, it may be necessary for you to complete a learning assessment or evaluation before receiving credit.
PCMA will upload credit electronically to ACPE within (30) days of the conference. Credit should appear in your NABP account within a week of upload.
State Requirements: Some states have specific CPE requirements. Be sure to check with your state Board of Pharmacy to determine if such requirements exist and to determine if these programs meet those requirements.
Disclaimers » PCMA plans all CPE-eligible sessions independently of
commercial interests and PCMA does not accept grants to support any specific CPE programming.
» Educational content should be presented with full disclosure and equitable balance and should not include anything which is promotional, commercially biased, or which appears to endorse a drug, device or other commercial product or specific commercial service.
» The opinions expressed by speakers are those of the individual presenters. They do not necessarily reflect the views of PCMA or its members.
» CPE sessions may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Please refer to the official prescribing information for each product for information of approved indications, contraindications, and warnings.
22 PCMABoardofDirectors
Chairman, PCMA Board of DirectorsJon Prince
Chief Executive OfficerOptumRx
PCMA BOARD OF DIRECTORS
Mike KolarSenior Vice President and General Counsel & Interim
President and CEOPrime Therapeutics
William FlemingSegment President, Healthcare Services
Humana Inc.
Greg WatanabePresident &
Chief Operating OfficerMedImpact Healthcare
Systems, Inc.
Tim WentworthPresident, Express Scripts
and Cigna Services Cigna
Mostafa KamalChief Executive Officer
Magellan Rx Management
Jon RobertsExecutive Vice President &
Chief Operating OfficerCVS Health
PCMABoardofDirectors 23
ABOUT PCMA
The Pharmaceutical Care Management Association (PCMA) is the national association representing America’s pharmacy benefit managers (PBMs). PBMs administer prescription drug plans for more than 266 million Americans who have health insurance from a variety of sponsors including: commercial health plans, self-insured employer plans, union plans, Medicare Part D plans, the Federal Employees Health Benefits Program (FEHBP), state government employee plans, managed Medicaid plans, and others.
PCMA continues to lead the effort in promoting PBMs and the proven tools they utilize, which are recognized by consumers, employers, policymakers, and others as key drivers in lowering prescription drug costs and increasing access.
24 sPCMABoardofDirectors
Steve AveyVice President,
Specialty Pharmacy ProgramsMedImpact Healthcare
Systems, Inc.
sPCMA BOARD OF DIRECTORS
Jonathan GavrasSenior Vice President & Chief Medical OfficerPrime Therapeutics
Bill MartinVice President/General Manager
& Chief Commercial OfficerAccredo
Michael ZeglinskiSenior Vice President, Specialty Pharmacy
OptumRx
Steven MichurskiSenior Vice President,
Trade RelationsMagellan Rx Management
Prem ShahExecutive Vice President,
Specialty PharmacyCVS Health
sPCMABoardofDirectors 25
ABOUT sPCMA
With the costs and complexity of specialty drug treatments rising, PBMs offer a number of services designed to improve the quality of care for patients across the nation while managing overall costs to the health care system. To encourage complete coordination across the continuum of patient care, payers depend on PBMs’ utilization management tools, including the use of specialty pharmacies, to ensure that the value of therapy is optimized, at the most reasonable costs possible.
sPCMA was established as a division of PCMA to provide leadership and representation to the specialty pharmacy industry on matters of public policy, communications, and the value specialty pharmacies deliver to the health care delivery system.
26 PCMAStaff
PCMA STAFF
JC ScottPresident & Chief Executive Officer
April AlexanderAssistant Vice President,
State Affairs
Kristin BassChief Policy and
External Affairs Officer
Jenny BradhamDirector, Conferences
and Development
Andy CosgroveVice President, Policy
Charles CotéVice President, Strategic
Communications
Tim DubeAssistant Vice President,
Regulatory Affairs
Whitney DunnExecutive Assistant to the President & CEO
Amanda FrostAssistant Vice President,
Research
Bill HeadSenior Director, State Affairs
Jonathan HeafitzVice President, Federal Affairs
Ryan HickeyChief Financial Officer
Wendy KrasnerVice President, Regulatory
Affairs
Barbara LevyVice President & General Counsel
Greg LopesSenior Director,
Strategic Communications
Brian McCarthyChief Strategy and Business
Operations Officer
Anne McCrawAssistant Vice President,
Industry Relations
Kaye MeierSenior Director, Federal Affairs
Casey MurphySenior Director, Federal Affairs
Brenda PalmerVice President &
Chief Administrative Officer
Kristen PumphreySenior Director, Conferences
Connor RoseSenior Administrator,
State Affairs
Lauren RowleyVice President, State Affairs
Melodie ShraderSenior Director, State Affairs
Deloris TinsleySenior Executive Assistant
Scott WoodsSenior Director, State Affairs
ConferenceSponsors 27
Partners
CONFERENCE SPONSORS
28 PCMAStaff
Presidential Sponsors
PCMAStaff 29
Executive Sponsors
30 PCMAAffiliates
PCMA AFFILIATES
PCMAAffiliates 31
32 PCMAAffiliates
PCMA Annual Meeting 2019September 23 & 24
Scottsdale, AZ
sPCMA Business Forum 2020March 16 & 17
Orlando, FL
PCMA Annual Meeting 2020September 14 & 15
Scottsdale, AZ
Save the Dates
pcmanet.org