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Multidisciplinary Approach to Managing Oral Oncolytics

Michael Reff, RPh, MBA, explains how the National Community Oncology Dispensing Association champions for best practices with the use of CDK4/6 (cyclin-dependent kinases 4 and 6) inhibitors for patients with breast cancer.


 
Transcript

Michael Reff, RPh, MBA: This is a good stepping point to talk about NCODA [National Community Oncology Dispensing Association], the organization that I founded. We have 280 practices around the country that are members of this organization. We have quality standards that talk about adherence, which you’re mentioning now. The quality standards are really the backbone, or are sort of the recipe on how to truly be a medically integrated service primarily and solely for the patients, but they also add value back to the practice and other stakeholders in this space, like payers and state boards of pharmacies and other stakeholders. They provide value by looking at the oral therapy model, emphasizing the benefits of having a team who is focused on that. The ultimate goal is to delight the patient who is receiving this oral therapy as much as possible.

Joyce O’Shaughnessy, MD: Right. It really is all about giving the patient the best care, of course. You’ve got the option where the specialty pharmacy can fill the prescription or the practice can fill the prescription, right? What’s been happening with that over the last few years or so? And then let’s discuss the integrated medical pharmacy. How is that going to possibly improve the situation?

Michael Reff, RPh, MBA: Having a medically integrated pharmacy team helps the practice be able to go to payers who may dictate the distribution model for a prescription as to whether it can be filled at the practice or whether it has to go outside to a specialty pharmacy.

If a practice can demonstrate the quality and value that I know a medically integrated pharmacy team can, then that payer may be obligated or encouraged to allow that practice to go beyond the first fill. What I mean by that is most times, when you prescribe a CDK4/6 inhibitor, your pharmacy may be able to fill the first fill. Then all subsequent fills need to go out to a specialty pharmacy that is dictated by the payer. What 8 NCODA practices have done across the country is work regionally with payers to demonstrate to them the quality and value. By showing quality and value, we see better adherence, right? We look at the medication possession ratios. There are fewer adverse effects. We see better management of financial toxicities, because we know that these compounds are very expensive. So by wrapping our team around the 4 quality standards of NCODA, we have provided opportunities that are unprecedented—to be able to go beyond the first fill with 11 regional payers and employer groups at these 8 separate practices that are in different states in the country.

Joyce O’Shaughnessy, MD: Yes. That makes so much sense.

 


Episode #1

The Advent of Oral Oncolytics and Patient Access
The Advent of Oral Oncolytics and Patient Access

Episode #2

Multidisciplinary Approach to Managing Oral Oncolytics
Multidisciplinary Approach to Managing Oral Oncolytics

Episode #3

Roles of the Oncologist Versus Pharmacist
Roles of the Oncologist Versus Pharmacist

Episode #4

The Efficacy and Safety of CDK4/6 Inhibitors
The Efficacy and Safety of CDK4/6 Inhibitors

Episode #5

Practical Challenges in Switching to CDK4/6 Inhibitors
Practical Challenges in Switching to CDK4/6 Inhibitors

Episode #6

Medically Integrated Dispensing Service Best Practices
Medically Integrated Dispensing Service Best Practices

Episode #7

Oral Oncolytics and Patient Adherence
Oral Oncolytics and Patient Adherence

Episode #8

Medically Integrated Pharmacy Teams Spur Innovations
Medically Integrated Pharmacy Teams Spur Innovations

Episode #9

CDK4/6 Inhibitors in Metastatic Breast Cancer
CDK4/6 Inhibitors in Metastatic Breast Cancer

Episode #10

Considerations for Treating Patients with CDK4/6 Inhibitors
Considerations for Treating Patients with CDK4/6 Inhibitors

Episode #11

Multidisciplinary Care in Breast Cancer
Multidisciplinary Care in Breast Cancer

Episode #12

Best Practices for Managing Patients on CDK4/6 Inhibitors
Best Practices for Managing Patients on CDK4/6 Inhibitors

Episode #13

Educating Patients and Staff on Using CDK4/6 Inhibitors
Educating Patients and Staff on Using CDK4/6 Inhibitors

Episode #14

Improving Care for Patients With Metastatic Breast Cancer
Improving Care for Patients With Metastatic Breast Cancer

Episode #15

Metastatic Breast Cancer: CDK4/6 Inhibitors
Metastatic Breast Cancer: CDK4/6 Inhibitors

Episode #16

Benefits and Challenges of CDK4/6 Inhibitors
Benefits and Challenges of CDK4/6 Inhibitors

Episode #17

Patients' Perspectives on CDK4/6 Inhibitors
Patients' Perspectives on CDK4/6 Inhibitors

Episode #18

Multidisciplinary Approach: Managing CDK4/6 Inhibitors
Multidisciplinary Approach: Managing CDK4/6 Inhibitors

Episode #19

Dispensing of CDK4/6 Inhibitors
Dispensing of CDK4/6 Inhibitors

Episode #20

Patient Management of CDK 4/6 Inhibitors
Patient Management of CDK 4/6 Inhibitors

Episode #21

Adherence With CDK 4/6 Inhibitors
Adherence With CDK 4/6 Inhibitors
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