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Formulary Management Pharmacist Jobs (NOW HIRING)

ProAct

Formulary Operations Specialist

East Syracuse, NY · On-site

$30 - $35/hr

Minimum 5 years of experience in drug information, formulary management, or managed care pharmacy. Preferred: * Exposure to cost-effectiveness analysis and integration of clinical insights with ...

WVU Medicine

Clinical Utilization Management Pharmacist

$121K - $144K/yr

In addition, the Clinical Utilization Management Pharmacist will work with our Medical Director and Clinical Formulary team to review any specialty medication requiring a specialty consult as defined ...

WVU Medicine

Clinical Utilization Management Pharmacist

$121K - $144K/yr

In addition, the Clinical Utilization Management Pharmacist will work with our Medical Director and Clinical Formulary team to review any specialty medication requiring a specialty consult as defined ...

Peak Health

Clinical Utilization Management Pharmacist

$121K - $144K/yr

In addition, the Clinical Utilization Management Pharmacist will work with our Medical Director and Clinical Formulary team to review any specialty medication requiring a specialty consult as defined ...

Impresiv Health

Health Plan Pharmacist

Huntington Beach, CA · On-site

$61.50 - $74/hr

This role serves as a key clinical and strategic partner responsible for formulary management, PBM ... Active pharmacist license in good standing. * 5+ years of managed care, health plan, PBM, or ...

Shannon Health

Oncology Pharmacist

San Angelo, TX

As a part of the Oncology Team, pharmacists can also be asked to take part in the decision-making process on chemotherapy formulary management, treatment protocols, compliance with regulations, and ...

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Formulary Management Pharmacist information

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How much do formulary management pharmacist jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for formulary management pharmacist in the United States is $60.91, according to ZipRecruiter salary data. Most workers in this role earn between $56.01 and $67.31 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a formulary management pharmacist?

To thrive as a Formulary Management Pharmacist, you need a deep understanding of pharmacotherapy, evidence-based medicine, and managed care principles, typically supported by a PharmD degree and relevant licensure. Familiarity with formulary management software, drug information databases, and pharmacy benefits management (PBM) systems is highly valuable, along with certifications such as BCPS (Board Certified Pharmacotherapy Specialist). Strong analytical skills, attention to detail, and effective teamwork and communication abilities help you navigate complex formulary decisions and collaborate with diverse healthcare professionals. These competencies are crucial for optimizing medication use, ensuring cost-effectiveness, and supporting the clinical and financial goals of the organization.

What is a formulary management pharmacist?

A Formulary Management Pharmacist is responsible for developing, evaluating, and maintaining a healthcare organization's drug formulary. They assess medication efficacy, safety, and cost-effectiveness to ensure optimal patient care while managing pharmaceutical budgets. Their role often involves collaborating with healthcare providers, pharmacy committees, and insurance companies to establish medication policies and guidelines. Additionally, they stay updated on new drug therapies, regulatory changes, and industry trends to make informed decisions.

What does a formulary management pharmacist do?

A typical day for a Formulary Management Pharmacist involves reviewing and updating drug formularies, evaluating clinical evidence and cost-effectiveness of medications, and preparing recommendations for Pharmacy and Therapeutics (P&T) committee meetings. You’ll work closely with physicians, nurses, pharmacy benefit managers, and other healthcare professionals to support evidence-based medication policies, address coverage inquiries, and resolve formulary-related issues. This role can also involve analyzing prescribing data, responding to drug shortage scenarios, and contributing to educational initiatives for staff. The environment is collaborative and analytical, with opportunities to influence patient outcomes and healthcare costs meaningfully.

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Formulary Management Pharmacist jobs near you
Infographic showing various Formulary Management Pharmacist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $126,701 per year, or $60.9 per hour.

Pharmacist, UM-Formulary Oversight - Hybrid

EmblemHealth

New York, NY • On-site

$63.75 - $76.50/hr

Full-time

Posted 15 days ago

EmblemHealth rating

9.4

Company rating: 9.4 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

7th of 303 rated insurance

Job description

Summary of Job

Responsible for setting Pharmacy UM criteria and decision tree oversight.  Review and maintain UM criteria (e.g., prior authorization (PA) and step therapy) for clinical appropriateness and alignment with P&T decisions.  Advise Operations team on vendor configuration for UM setup.  Partner with pharmacist Formulary, UM, and analytics teams to select annual formulary.  Partner with Finance and Pharmacy analytics to finalize disruption analysis and monitor medical drug rebates.  Provide formulary analysis for strategy opportunities, collaborate with Ops/Product strategy team to inform benefit design.  Advise pharmacy benefits manager (PBM) and operations team to implement formulary and prior authorization criteria.  Monitor key PGs, KPIs, and trends in utilization, authorization, and operations; report metrics to Formulary and UM Pharmacist Manager and Clinical Pharmacy Director.  Provide sound clinical judgment and subject matter expertise of State and Federal regulations to ensure compliance with regulatory and contractual obligations.

Responsibilities

  • Responsible for development, implementation, and maintenance of preferred formulary drug lists. 
  • Responsible for preferred drug lists for key clinical areas including primary care, pediatrics, dermatology, cardiology, ophthalmology, rheumatology, hematology/oncology, gastroenterology.  
  • Develop preferred formulary drug lists across all lines of business: Medicare Part D, Medicaid, Commercial, Healthcare Exchange. 
  • Evaluate and maintain formulary set-up based on clinical requirements, compliance with regulatory bodies, and P&T rules. 
  • Maintain clinical tools utilized by pharmacy services for purpose of remaining up to date and compliant with current pharmacy policies. 
  • Provide education on new formulary updates including quarterly formulary changes and annual 1/1 changes. 
  • Serve as subject matter expert for all escalated clinical formulary related issues as well as for all formulary related internal and external audits. 
  • Review weekly reports to identify trends and compliance.  
  • Work with IT to maintain preferred drug list updates. 
  • Identify and target prescribing outliers. 
  • Work with actuary to determine cost saving alternatives for preferred drug list.  
  • Manage the Pharmacy & Therapeutic Committee/Formulary Management, including Step-Protocol Review, NonFormulary Review, Subcommittee Management (Meetings/minutes), Drug Reviews, and Updates and Drug Policies, for all medications. 
  • Report formulary compliance to senior leadership. 
  • Other duties/projects as assigned

Qualifications

  • Doctor of Pharmacy degree 
  • PGY-1 or PGY-2 In Ambulatory Care, Geriatrics, Internal Medicine, or Managed Care  (Preferred) 
  • Registered Pharmacist: Registered Pharmacist license  (Requred)
  • 10 - 12+ years of relevant experience  (Requred) 
  • Residency or 5 years' clinical experience  (Preferred) 
  • Knowledge of formulary utilization management techniques  (Requred) 
  • Knowledge of pharmaceuticals and disease states to provide advice and consultation to providers and members and recommend changes to the formulary  (Requred) 
  • Possess research and analytical skills sufficient to provide problem resolution and consultation to providers  (Requred) 
  • Excellent verbal and written communication skills sufficient to prepare own correspondence and interact with members and providers in provision of advice and guidelines  (Requred)
Additional Information
  • Requisition ID: 1000003266
  • Hiring Range: $92,880-$178,200

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