Can PDL decisions be appealed?
PDL decisions may not be appealed. If a pharmaceutical manufacturer believes that factual information was misrepresented at the P&T Meeting, that manufacturer may submit documentation supporting their viewpoint to the Bureau for Medical Services (BMS). Only documentation from published, peer-reviewed medical journals will be accepted. The BMS, in consultation with the State’s vendor, will propose reevaluation of the entire therapeutic class only if the data submitted supports that factual information was, indeed, in error.
