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Ez-Minutes Volume 13, Issue 4 August 2015

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Ez-Minutes Volume 13, Issue 4 August 2015 Pharmacy Benefits Management- Medical Advisory Panel- VISN Pharmacist Executives Volume 13, Issue 4 Ez - MINUTES Watch for the next issue of Ez-Minutes Tuesday, March 1st, 2016 Aug 2015 – Dec 2015 See us at: http://www.pbm.va.gov/ or https://vaww.cmopnational.va.gov/cmop/PBM/default.aspx. Click Here to Subscribe to the Ez Minutes Due to travel restrictions and the need to reschedule the PBM-MAP-VPE Posting of National PBM Documents Aug – Dec 16, 2015 Meetings where formulary decisions are made, this issue of the EZ Minutes Formulary Decisions combines two issues in one. Formulary Decisions from August 2015-December ADDED to the VA National NOT ADDED to the National Removed from the National 11, 2015 are included in this issue. Formulary (VANF) Formulary (VANF) Formulary (VANF) Inside This Issue 9-valent HPV vaccine Adapalene 0.3% and benzoyl peroxide Antipyrine/benzocaine/glycerin Otic Bupropion XL (24-hour formulation) 2.5% topical gel combination Chloral hydrate Posting of National PBM Daclatasvir Afatinib Ipecac Syrup Documents Aug-Dec 2015 Idarucizumab Alemtuzumab 4-valent HPV vaccine Lacosamide IV Alirocumab Posting of VAMedSAFE Drug Monograph Documents Aug- Dec 2015 Lidocaine cream/ointment Antihemophilic Factor (recombinant), Lidocaine 5% patch Porcine Sequence Afatinib National Contract Awards for Melatonin (Certified Product Only) Bosutinib Alemtuzumab CY 2015 Paliperidone palmitate IM Brimonidine Topical Gel Alirocumab Pharmacy-Prosthetics- Phenylephrine (oral) Buprenorphine Transdermal System Bosutinib Logistics and Acquisitions Potassium Chloride oral solutionTechnivie Carbidopa Levodopa ER Buprenorphine Transdermal System (PPL) Workgroup Aug-Dec Tiotropium/olodaterol Inhaler Ceftazidime/avibactam Carbidopa Levodopa ER 2015 Ulipristal acetate Edoxaban Ceftazidime/avibactam Flucinolone acetonide 0.19 intraviteral Edoxaban TSOAC to DOAC Criteria for Use (CFU) implant Empagliflozin (Pending: formulary Reducing Polypharmacy in Glucagon Injection [synthetic] –the VANF status/update to the SGLT2 Inhibitor CFU) line item name will be changed to the Palliative Care Setting 9-valent HPV vaccine Fluocinolone acetonide 0.19 intravitreal Acetylcholinesterase Inhibitors [Updated Dec. Glucagon Recombinant Injection to implant PBM-MAP-VPE Webinars 2015] differentiate between synthetic glucagon Idarucizumab Alemtuzumab (nonformulary) and recombinant Insulin glargine 300U per mL Salute to former and New Alirocumab glucagon (formulary) Ivabradine Members Brimonidine Topical Gel Hydrocodone bitartrate ER Lacosamide Addendum Happy Holidays and a Carbidopa Levodopa ER Insulin glargine 300U per mL Daclatasvir Ivabradine Melatonin Safe New Year Ezetimibe/Ezetimibe+Simvastatin [Updated Leuprolide acetate for depot injection Omacetaxine Mepesuccinate Nov. 2015] and norethindrone acetate Ospemifene The purpose of PBM-MAP-VPE Ivabradine Lidocane 5% ointment Paclitaxel Protein-Bound Ez-Minutes Newsletter is to Methylnaltrexone Injection [Updated Dec. 2015] Omacetaxine Mepesuccinate Paliperidone palmitate IM communicate with the field on Paliperidone Osemifene Ponatinib items which will impact clinical Pneumococcal 13 Valent Conjugate Oxycodone HCl Acetaminophen Sacubitril Valsartan practice in the VA. Please send Vaccine [Updated Oct. 2015] Extended-Release Tasimelteon and feedback and/or comments Sacubitril Valsartan Ticagrelor Addendum Paclitaxel Protein-Bound to [email protected]. Sofosbuvir and Ledipasvir-Sofosbuvir Paroxetine mesylate 7.5 mg Vortioxetine [Updated Oct. 2015; Dec 2015) Pasireotide Tasimelteon The recent issue of Ez Minutes can be Ponatinib Clinical Recommendations read from your smart phone! Put the Ticagrelor [Updated Dec. 2015] Sacubitril Valsartan below link in your browser; hit search… Varenicline [Updated Dec. 2015] Naloxone Kits and Autoinjector Tasimelteon and the current issue from the PBM Vedolizumab Injection Ulipristal acetate Vedolizumab Injection INTERnet site will be ready to read. Viekira Pak and Technivie [Updated Dec. 2015] http://www.pbm.va.gov/PBM/ezminutes Von Willebrand Factor/Coagulation Additional Information Factor VIII Complex (human) /current/currentEzMinutes.pdf Abbreviated Review Methylnaltrexone Injection guidances - indication for opioid-induced constipation Don’t forget…you can also subscribe 9-valent HPV vaccine Patient and Provider Letters in chronic noncancer pain was added to Ez-Minutes and any documents Hydrocodone bitartrate ER Digoxin Patient Letter, Provider Letter Oxcarbazepine-Not restricted to neuro posted to the What’s New Section on Oxycodone HCl Acetaminophen Extended- (Digoxin has been removed from the VA the PBM INTERnet web site by Other Helpful Resources Release Drug Standardization List due to a shortage subscribing to the RSS Feed. Pasireotide of the active pharmaceutical ingredient Cost Comparison for HCV Genotype 3 http://www.pbm.va.gov/PBM/rss/Whats Technivie Glatiramer Provider Letter and Patient Regimens [InTRAnet only] _New_At_PBM_RSS_Feed.xml Tiotropium/olodaterol Inhaler Letter Lidocaine 5% Patch Literature Review E -MINUTES Aug 2015- Dec 2015 z P a g e | 2 Posting of VAMedSAFE Documents AUG-DEC 2015 OmniPod Insulin Management System Recall: ADDENDUM [December 14, 2015] Auvi-Q (epinephrine injection, USP) Recall - Potential Inaccurate Dosage Delivery [October 30, 2015] BD Syringes and Loss of Drug Potency: FDA Expands Warning-UPDATE [September 23, 2015] OmniPod Insulin Management System Recall [September 5, 2015] Allergan Ophthalmic Product Recall Due to Particulate Matter: ADDENDUM [September 4, 2015] Allergan Ophthalmic Product Recall Due to Particulate Matter [September 2, 2015] BD Syringes and Loss of Drug Potency [August 31, 2015] National Contract Awards for Calendar Year 2015 Click on this link to view the National Contract Awards CY 2015. [InTRAnet only] Pharmacy-Prosthetics-Logistics (PPL]* Workgroup The table below depicts the various products reviewed during July-October 2015 meetings. The X marks which service(s) is responsible for managing the respective products. Please click HERE for previous recommendation and minutes made from earlier meetings. Products Pharmacy+ Prosthetics+ Logistics+ Anchor Arthrex Suture (permanent) X Bio-adhesive glue and remover for facial prosthesis *The PPL workgroup X (outpatients) X (Initial) was created to help [Initial supply provide by prosthetics, replacement refills by pharmacy] clarify the Cefaly used for in migraines X (outpatients) responsibility for Blood pressure devices/cuffs for home use X management (e.g., ordering, storing, Endoscopic Bariatric Therapy (gastric balloon) X purchasing, and/or Enteral declogging system (non-drug, e.g., ClogZapper and other dispensing) of those similar products) if alternative agents (e.g., pancreatic enzyme X (outpatient use) X (inpatient or clinic use) products in which it is products) are deemed ineffective or contraindicated not clear which service should provide. The Ful-Glo (fluorescein strips or drops) X (inpatient or clinic use) workgroup is not GEM 21s, Osteogen and other similar resorbable boney void fillers X responsible for determining formulary Lancets for blood glucose testing X (outpatients) X (inpatients and clinics) status, clinical merit, or Oral care kit and suctioning system (e.g., Q-Care Kit containing X (inpatient or clinic use) appropriate use of the chlorhexidine gluconate 0.12%) products reviewed. Ovulation Kits for female Veterans X (outpatient use) Rocker cast boots/shoes or post-operative shoes X (outpatients) Rose Bengal X (inpatient or clinic use) X (outpatient Sheepskin use) SPACEOAR (used prior to radiation of the prostate) X X (in properly selected Vinyl or plastic pants to wear over adult diapers X outpatients) +Contingent upon approval from VISN or local Clinical Products Review Committee (CPRC). Implementation of these recommendations should be coordinated between services at local sites to ensure a smooth transition if recommendations lead to a change in responsible service. If you have any questions related to this announcement, please contact the responsible local service (Pharmacy, Prosthetics, or Logistics) for more detailed information. TSOAC RENAMED TO DOAC (DIRECT ORAL ANTICOAGULANTS) NEW The Scientific and Standardization Committee (SSC) of the International Society of Hemostasis and Thrombosis (ISTH) recently published recommendations on the use of consistent nomenclature for the newer class of oral anticoagulants that directly inhibit a single target and have similar clinical properties (e.g., dabigatran, rivaroxaban, apixaban, and edoxaban). After evaluation of several possibilities, the SCC of the ISTH recommends DOAC for direct oral anticoagulants. The nomenclature has been endorsed by several professional societies including the Anticoagulation Forum. (J Thromb Haemost. NAME 2015;13:1154-6) VA had widely adopted the target specific oral anticoagulants or TSOAC nomenclature (e.g., PBM documents, policy, CPRS ordering menus, MUET, etc.) as was originally endorsed by the Anticoagulation Forum and VA subject matter experts. Based on the new ISTH recommendations, the MAP and VPEs (National PBM) agreed that VA should transition from TSOAC to DOAC to be consistent with practices outside of VA. DOAC The field will begin to see the new nomenclature of DOAC in PBM documents, communications, policy, MUET, etc. Facilities are encouraged to re-evaluate local and VISN level use of the TSOAC term and consider transitioning to the
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