pharmacy.medicaid.ohio.gov

The Pharmacy and Therapeutics (P&T) Committee is responsible for developing and maintaining medications and related products listed on the Ohio Department of Medicaid’s (ODM) Unified Preferred Drug List (UPDL) pursuant to the Ohio Revised Code § 5164.7510. The UPDL is maintained through a review of current evidence-based medicine and based upon the professional judgment of physicians, pharmacists, and other experts that participate in ODM’s Pharmacy and Therapeutics (P&T) Committee. The UPDL list can be found under the Drug Coverage tab.

The P&T Committee is composed of ten members appointed by the Medicaid Director. The P&T Committee members meet up to four times per year-including an annual review of the entire UPDL. Topics that may be discussed at meetings include:

• New brand or generic drugs
• UPDL changes based on any local or national issues (including contract issues)
• Stakeholder feedback through a Public Comment session

The members of the P&T Committee are:

• Scott Baran, RPh; Ohio Department of Medicaid
• Michael Dietz, DO; Liaison, Ohio Osteopathic Association
• Suzanne Eastman, RPh, MS, Vice Chair; Liaison, Ohio Pharmacists Association
• Stephen Hersey, MD; Liaison, American Academy of Pediatrics
• Karen Jacobs, DO, Chair; Specialty Psychiatry; Liaison, Ohio Psychiatric Physicians Association
• Melissa Jefferis, MD; Specialty Family Medicine; Liaison, Ohio Academy of Family Physicians
• Sherri Sievers, APRN; Liaison, Ohio Association of Advanced Practice Nurses

• P&T By Laws (DOWNLOAD)
• P&T Conflict of Interest Statement (DOWNLOAD)

Interested in Presenting?

• Interested parties are permitted to speak or provide written testimony to the Committee virtually. Presentations must be related to a meeting agenda item. To be confirmed as a presenter at the meeting, please refer to Article V – PUBLIC PARTICIPATION of the By-Laws and see the links below.
• Drug Manufacturer
• Non-Drug Manufacturer

The Ohio Department of Medicaid (ODM) is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs, and employment opportunities in accordance with the Americans with Disabilities Act (ADA), Title VI of the Civil Rights Act, and other applicable laws. To request an interpreter, written information in a language other than English or in other formats (large print, audio, accessible electronic formats, other formats), or a reasonable accommodation due to a disability, please contact ODM’s Civil Rights/ADA Coordinator at 614-995-9981/TTY 711, Fax 1-614-644-1434, or Email: ODM_EEO_EmployeeRelations@medicaid.ohio.gov. Requests should be made at least three (3) business days prior to the scheduled meeting. If you believe ODM has failed to provide these services or discriminated in another way, you can file a grievance with ODM’s Civil Rights Coordinator and/or file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Further information on these processes and ODM’s compliance with civil rights and other applicable laws can be found here: Notice of Nondiscrimination.

P&T Meeting Minute Archive

Have Questions? Members of the Ohio Department of Medicaid P&T Committee have requested that all clinical information, questions or comments about the preferred drug list (UPDL) be sent directly to Change Healthcare, the ODM FFS PBM. Manufacturers and other interested parties are requested not to contact the members directly.

Written comments on the UPDL from all interested parties should be submitted to the appropriate Change Healthcare contact. Manufacturers submitting comments are requested to do so through their product manager.

Clinical Comments:

Change Healthcare
Email: PBA_OHMedicaidFFS@changehealthcare.com

Rebate Comments or Other Financial Information:

Change Healthcare
Ryan Fell, PharmD
Senior Director, Public Sector Trade and Industry Relations
Email: ryan.fell@changehealthcare.com

Comments about the Medicaid pharmacy program or non-UPDL issues can be addressed to:

Ohio Department of Medicaid
Pharmacy Services Unit
PO Box 182709
Columbus, OH 43218-2709
Email: medicaid_pharmacy@medicaid.ohio.gov