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White Guide and Orange Guide Formatting Project - Pfizer

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Communicating Formulary Status<br />

Mailing Clinical Studies to HCPs<br />

Discussing Prior Authorizations<br />

<strong>Orange</strong> <strong>Guide</strong> – Chapter 2: Detailing to HCPs<br />

Q. Can I discuss with physicians the formulary status of <strong>Pfizer</strong> products as<br />

compared with competitor products? If so, can I create a chart showing the<br />

different formulary status by health plan?<br />

A. In some circumstances, it might be appropriate to discuss the formulary status<br />

of <strong>Pfizer</strong> <strong>and</strong> competitor products with HCPs provided that all statements you<br />

make are accurate <strong>and</strong> do not make any non RC-approved direct or indirect<br />

comparative claims. For example, you can point out when a <strong>Pfizer</strong> product has<br />

a favorable formulary status, but you may not state or imply that the formulary<br />

status makes the <strong>Pfizer</strong> product more effective or safer than a competitor<br />

product. You are not permitted to create a formulary status chart because this<br />

would be considered a homemade promotional piece, which is not allowed.<br />

Q. What materials are available to me to help discuss formulary status?<br />

A. The Corporate <strong>and</strong> Government Customers (CGC) group provides RC-approved<br />

access grids (generated in the Fingertip Formulary System) which depict the<br />

formulary status of <strong>Pfizer</strong> products. Contact the relevant CGC Account<br />

Manager if information is not available in the Fingertip Formulary System or if<br />

you need to request a copy of up-to-date formulary access grids.<br />

Q. Am I permitted to mail an RC-approved clinical study (“reprint”) to an HCP?<br />

A. Generally, no, unless there is explicit guidance <strong>and</strong> permission in iCUE to do so.<br />

Q. Can I engage in discussions with HCPs about Prior Authorizations?<br />

A. You should follow any applicable RC-approved guidance when engaging in a<br />

discussion about specific prior authorization (PA) criteria or forms. In order for<br />

you to give or show a specific PA form, it must be RC-approved or you must first<br />

obtain written approval from an appropriate CGC representative. If a PA form<br />

has been approved for distribution, you may discuss the relevant factual prior<br />

authorization criteria with an HCP. If the form contains a <strong>Pfizer</strong> product name,<br />

the applicable package insert must be left behind with any approved PA form.<br />

You should never assist HCPs or staff in filling out any prior authorization form<br />

<strong>and</strong> you may not coach anyone on fulfilling or evading a prior authorization<br />

form’s requirements in order to obtain approval for either a specific patient or a<br />

type of patient.<br />

23<br />

Rev. 09/12<br />

Page 8 of 29

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