Use of Comparative Effectiveness Reviews in Medicaid Drug Reviews
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As of July 1, 2019
| Location | State Incorporates Comparative Effectiveness Review (CER) Information in Drug Coverage Reviews | CER Info Sources |
|---|---|---|
| United States | Yes: 35, No: 15, NR: 1 | |
| Alabama | Yes | Clinical reviews by contractor |
| Alaska | No | ICER |
| Arizona | No | |
| Arkansas | Yes | ICER, clinical guidelines, DUR, Medical Director |
| California | Yes | ICER, published studies |
| Colorado | Yes | DERP |
| Connecticut | Yes | Resource links and documentation, DERP |
| Delaware | Yes | DERP, ICER |
| District of Columbia | Yes | ICER |
| Florida | No | |
| Georgia | Yes | ICER |
| Hawaii | No | |
| Idaho | Yes | DERP, Provider Synergies Therapeutic Class Reviews |
| Illinois | Yes | Drug monographs and clinical reviews provided by University of Illinois Chicago |
| Indiana | Yes | Primary literature |
| Iowa | Yes | ICER, AHRQ |
| Kansas | Yes | Analyses published in the literature |
| Kentucky | No | |
| Louisiana | No | |
| Maine | Yes | ICER, other available comparative effectiveness reviews that are current, applicable, and of high quality |
| Maryland | No | |
| Massachusetts | Yes | Comparative effective analysis from literature |
| Michigan | Yes | ICER, DERP, other generally accepted peer reviewed medical literature or standard pharmaceutical references such as drug facts and comparisons, AMA drug evaluations, American hospital formularly service drug information, DRUGDEX information systems |
| Minnesota | Yes | DERP, Magellan |
| Mississippi | Yes | PDL/PA vendor, primary literature, Cochrane database and collaborative, NCCN, ICER, NICE, recognized specialty guidelines, DERP |
| Missouri | Yes | DERP, ICER, UMCD Drug Information Center, PDL Contractor Vendor |
| Montana | No | |
| Nebraska | Yes | ICER, Magellan Rx Management Clinical Services |
| Nevada | No | |
| New Hampshire | No | |
| New Jersey | No | |
| New Mexico | No | |
| New York | Yes | State University of NY at Buffalo, ICER, DERP |
| North Carolina | Yes | DERP |
| North Dakota | Yes | Compendia |
| Ohio | Yes | ICER, DERP, MED, guidelines |
| Oklahoma | No | |
| Oregon | Yes | ICER, DERP, etc. |
| Pennsylvania | Yes | ICER |
| Rhode Island | Yes | Current clinical materials |
| South Carolina | Yes | ICER, other relevant clinical data |
| South Dakota | Yes | Materials supplied by vendor (OptumRx) |
| Tennessee | No | DERP, MED |
| Texas | No | |
| Utah | NR | NR |
| Vermont | Yes | Package insert, Micromedex, ICER |
| Virginia | Yes | ICER, DERP |
| Washington | Yes | ICER, DERP, MED |
| West Virginia | Yes | Comparative reviews and current clinical information provided by the PDL vendor (Change Health Care) |
| Wisconsin | Yes | ICER, DERP, Therapuetic Class Reviews, drug compendia, peer-reviewed literature. |
| Wyoming | Yes | ICER, any published studies with comparative evidence |