title: Systemic Market and Organizational Changes: Impact on P&T Committees.
abstract: The authors consider market stakeholder consolidation, market-driven efficiency demands, consumerism, and legal enforcement of patient rights related to access to appropriate drugs and posit how future P&T committees may approach these issues.
authors.forename: F Randy
authors.initials: FR
authors.lastname: Vogenberg
authors.forename: Rita
authors.initials: R
authors.lastname: Marcoux
authors.forename: Martha M
authors.initials: MM
authors.lastname: Rumore
keywords: Medicare Access and CHIP Reauthorization Act; P&T; Patient Protection and Affordable Care Act; formularies; insurance; managed care; value-based reimbursement