Biosimilar Readiness Checklist

Longitudinal

Monitor HealthTrust communications (Rx Response, webinars, Member Portal) for updates on biosimilars education, approvals and contracting.

HealthTrust will:

·  Develop toolkits and other support documents for members to enhance approval and uptake of biosimilars

·  Maintain active site on the Member Portal related to the current status of biosimilars

·  Communicate opportunities in biosimilars market when approved and contracted

Use HealthTrust resources for education

·  Educate pharmacy, physicians, nursing, case managers, administration

·  Toolkits, webinars, print and present, FAQ documents, helpful links (i.e. ASHP, EMA, FDA)

Month One

Meet and educate administration on importance of biosimilars adoption

·  Discuss patent cliff and growth of biosimilars/competitive biologics market

·  Discuss potential cost savings opportunities

·  Cover biosimilars clinical trial requirements for safety/efficacy

·  Engage support and input from administration in electing a physician champion

·  Resources on Web page: Factsheet, FAQ, Webinars

q  Month Two

Elect a physician champion to drive biosimilars implementation

·  Hematologist or Oncologist (preferred)

q  Month Three

Present biosimilars/competitive biologics to different medical groups in their scheduled meetings

·  Heme/Onc/BMT, GI, Rheumatologists, Hospitalists, and Intensivists should be initial targeted meetings

·  Introduce groups to the biosimilar/competitive biologics market

·  Share important slides/concepts regarding science and the manufacturing process of biologics

·  Understand data and evidence needed by physician groups

·  Answer any questions or concerns committee has regarding biosimilars/competitive biologics

·  Build support for biosimilar adoption in the facility with the backing of the elected physician champion

·  Resources on webpage: Factsheet, , FAQ, Webinars, White Papers

q  Month Four

Present biosimilars/competitive biologics to Pharmacy Committees, Nursing Committees and other clinical committees

·  Implications to practice, equivalence studies, and need for equal support systems (education, injection devices, etc.)

·  Resources on webpage: Factsheet, FAQ, Webinars

q  Month Five

Discuss the current and future landscape of biosimilars/competitive biologics at the Pharmacy and Therapeutics Committee

·  Discuss what biosimilars/competitive biologics are and the science behind them, as well as financial drivers to the patent cliff and future growth of biologics and impact on hospital budget

·  Discuss need to develop a plan for review and approval of biosimilars upon introduction into the market

·  Work with the committee to determine how a formulary request will be managed by the committee and what documentation (clinical trials, etc) will be necessary for P&T approval

·  Develop approval requirements and pathway/policy for use of biosimilars/competitive biologics with the P&T Committee

·  Develop Therapeutic Interchange strategy with P&T Committee to automatically substitute branded biologic with biosimilar/competitive biologic, and necessary data to approve such a switch

·  Answer any questions or concerns the committee has regarding biosimilar products

·  Tbo-filgrastim therapeutic interchange approval

·  Resources on webpage: Factsheet, FAQ, P&T Print and Present, Tool kit, Webinars

Longitudinal

Meet with medical staff groups and Administration for follow-up after P&T Committee decision

·  Utilize HealthTrust resources and webinars to provide support documents to committee

·  Update groups on status of biosimilars in the USA

·  Inform of P&T requirements for biosimilar formulary approval

·  Introduce necessary requirements for additional Therapeutic Interchange status approvals

·  Answer any questions and concerns regarding biosimilars with committees and administration

Publish P&T Actions

·  Use P&T intranet site and/or newsletter to continually update staff on biosimilar approval and therapeutic interchange guidelines

·  Educate pharmacy, physicians, nursing, and case managers of implementation of therapeutic interchange program and date of implementation

·  Let Pharmacy Buyer know to adjust purchase patterns to biosimilar product

Inform wholesaler of intent to move volume to biosimilar NDC