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EHB Prescription Drug Standard: Pharmacy and Therapeutics Committees
National Health Law Program [NHeLP]Link to more items from this source
[Guidance Overview]
July 29, 2015
"[B]eginning in 2017 HHS will require [qualified health plans (QHPs)] to establish Pharmacy and Therapeutics (P&T) Committees to review and update plan formularies in conjunction with the USP Medicare Model Guidelines. Although new to QHPs, all Medicare Part D plans and some state Medicaid programs operate P&T Committees.... Even though QHPs are not required to have P&T Committees until 2017 (or sooner in some states), health advocates and consumers have a new tool to ensure that [essential health benefit (EHB)] formularies meet the needs of enrollees P&T Committees demonstrate the importance of advocacy efforts and lay the groundwork for future improvements in EHB prescription drug standards."

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