Abstract
The Regence Group is a Blue Cross, Blue Shield plan in the Pacific Northwest that covers approximately two and a half million people resident in the states of Washington, Oregon, Idaho, and Utah. The Pharmacy Department at Regence is responsible for reviewing all drugs that are ultimately placed on their formulary and also for drug policy. The evolution of the use of medication reviews in managed care plans, how evidence is used to make formulary decisions, and the role of the Pharmacy and Therapeutics Committee in the decision-making process, are discussed.
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