10 formulary management experts

Experience: Manager, Clinical Formulary Strategy · CareSource

Former Manager, Clinical Formulary Strategy (2021–2026) and Pharmacist, Formulary Strategy and Management (2018–2021) at CareSource, and Director, Pharmacy Clinical Strategy there since 2026. The profile says this person leads multi-state Medicaid and Health Insurance Exchange formularies and governs 300+ drug policies.

Experience: Clinical Formulary Strategy Medicare Formulary Co-Lead and SME · Humana

Former Clinical Formulary Strategy Medicare Formulary Co-Lead and SME (2020–2022) and Clinical Formulary & Medical Strategies Lead (Medicare, Commercial, Medicaid) (2022–2023) at Humana, and Director, Clinical Drug Evaluation and Policy Strategies there since 2025. Another Humana role listed is Clinical Formulary Strategy Subject Matter Expert (2019–2022).

Experience: Director of Pharmacy Benefit Strategy, Medicare · Centene Corporation

Former Director of Pharmacy Benefit Strategy, Medicare at Centene Corporation (2020–2026), and Sr Director of Pharmacy Benefit Strategy, Medicare there since 2026. The profile describes driving the annual development of Medicare Part D formulary and benefit strategy for Centene Corporation (Wellcare) MAPD and PDP lines of business. Former Director of Clinical Operations, Medicare at Centene Corporation (2019–2020).

Experience: Director of Commercial Formulary Strategy and Drug Policy · Blue Cross NC

Director of Commercial Formulary Strategy and Drug Policy at Blue Cross NC since 2026. Former AVP, Chief Pharmacy Officer (2023–2026) and Director of Clinical Pharmacy Management (2019–2023) at BlueCross BlueShield of South Carolina, and Formulary Management Pharmacist at Palmetto Health (2015–2019).

Experience: Director of Formulary Management and Clinical Programs · Sutter Health

Director of Formulary Management and Clinical Programs at Sutter Health since 2025. Former System Director, Acute Pharmacy Operations at Intermountain Health (2023–2025), and former Director, Clinical Pharmacy Services (2018–2023) and System Clinical Pharmacy Manager (2013–2017) at SCL Health.

Experience: Director, Clinical Formulary & Medical Drug Strategies · Humana Pharmacy Solutions, Inc.

Director, Clinical Formulary & Medical Drug Strategies at Humana Pharmacy Solutions, Inc. since 2022. Former Managing pharmacist (2020–2022), Supervising Pharmacist (2017–2020), Clinical Pharmacist (2013–2017) and Clinical Advisor-Pharmacist (2013) at Humana.

Experience: Senior Director Pharmacy Strategy & Policy · Excellus BCBS

Former Senior Director Pharmacy Strategy & Policy at Excellus BCBS (2023–2025), a role the profile describes as responsible for oversight of drug utilization and formulary management, implementation of new strategic initiatives to drive affordability and development of quality programs. VP, Pharmacy Solutions Clinical Strategy & Programs at Excellus BCBS since 2025, and former Director, Clinical Strategy, Policy & Services there (2015–2023).

Experience: Senior Director of Pharmacy Services · WellSense Health Plan

Senior Director of Pharmacy Services at WellSense Health Plan since 2023 and former Director of Pharmacy Services there (2011–2023). The profile says this person leads a multi-functional pharmacy team responsible for all aspects of the administration of the pharmacy benefit, including formulary management.

Experience: Director, Medicare Formulary and Benefit Operations · Centene Corporation

Director, Medicare Formulary and Benefit Operations at Centene Corporation since 2020. Former Sr. Manager, Pharmacy Benefit Relations (2020) and Manager, Pharmacy Benefit Relations (2018–2020) at Wellcare Medicare, and Manager, Pharmacy Operations at Universal American (2016–2018).

Experience: Director of Medication Use, Policy, & Formulary Management · M Health Fairview

Director of Medication Use, Policy, & Formulary Management at M Health Fairview since 2024. Former System Medication Policy Manager at M Health Fairview | Fairview Pharmacy Services (2022–2024) and Clinical Pharmacy Manager at M Health Fairview Southdale Hospital | Fairview Pharmacy Services (2016–2022).