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Application for Prescription Drug Affordability Advisory Council
Thank you for your interest in the Colorado Prescription Drug Affordability Advisory Council.
The Advisory Council is created in the Division of Insurance to provide stakeholder input to the Colorado Prescription Drug Affordability Review Board regarding the affordability of prescription drugs. The Advisory Council will include 15 members, 14 appointed by the Colorado Prescription Drug Affordability Review Board.
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Name (First, Last)
Contact Information (Email, Phone)
Current job title (Title, Company)
Please explain why you wish to serve on the Advisory Council.
Please select the experience you bring to the Advisory Council (Select up to 2)
I am a health care consumer or represent health care consumers
I represent a statewide health care consumer advocacy organization
I represent health care consumers who are living with chronic diseases
I represent a labor union
I represent employers
I represent health insurance carriers
I represent pharmacy benefit management firms
I represent health care professionals with prescribing authority
I am employed by an organization that performs research concerning prescription drugs, including pricing information
I represent manufacturers of brand-name drugs
I represent manufacturers of generic drugs
I represent pharmacists
I represent wholesalers
None of the above
In which congressional district do you live?
Colorado Congressional District 1 (Denver)
Colorado Congressional District 2 (Larimer, Grand, Boulder, Gilpin, Clear Creek, Summit, Jefferson, Eagle, Broomfield, Park)
Colorado Congressional District 3 (Western slope)
Colorado Congressional District 4 (Eastern slope)
Colorado Congressional District 5 (Chaffee, Fremont, El Paso, Teller, Park)
Colorado Congressional District 6 (Arapahoe, Adams, Douglas)
Colorado Congressional District 7 (Jefferson, Adams)
Where do you have subject matter expertise?
Pharmaceutical business model
Supply chain business models
Practice of medicine or clinical training
Health care consumer or patient perspectives
Health care cost trends and drivers
Clinical and health services research
Colorado's health care marketplace
None of the above
If you answered "none of the above" to question 6, please explain the other subject expertise you bring to the Advisory Council?
SB21-175 requires the Board to appoint council members "who have experience serving underserved communities and reflect the diversity of the state with regard to race, ethnicity, immigration status, income, wealth, disability, age, gender identity, and geography". Please discuss how you meet these requirements.
Are you able to commit to a two year term?
A copy of your responses will be emailed to the address you provided.
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