Nick Milazzo

About Nick Milazzo

Pharmacy executive with progressive senior leadership experience across large civilian and federal health systems. Proven record of leading enterprise-scale operations, managing $30M+ budgets, multi-site pharmacy operations, and teams of up to 130 members. Recognized for regulatory excellence, patient safety, and cost optimization in complex, high-risk environments including Level 1 Trauma Centers and academic medical systems. Trusted advisor known for building high-performing teams, modernizing pharmacy operations, and delivering measurable outcomes at scale.

Experience

1. Clinical Director, Formulary Services

   Express Scripts Pharmacy Benefit Services

   Oct 2022 — Present

   Express Scripts (by Evernorth) – St. Louis, MO | 2022–2026Enterprise clinical leader for the Defense Health Agency (DHA) Pharmacy Program, influencing formulary and benefit strategy for 9.6 million beneficiaries worldwide.• Served as senior clinical advisor, translating P&T Committee minutes into enterprise formulary strategy and operational execution, avoiding contractual penalties• Led implementation of complex formulary and benefit designs, including high-cost therapeutic categories such as anti-obesity agents and specialty pharmaceuticals• Directed utilization management strategy for new-to-market medications, safeguarding against inappropriate utilization and mitigating excessive cost exposure• Designed and implemented automated detective controls to proactively identify configuration risk and ensure contract-compliant benefit administration

Education

• St Louis College of Pharmacy

  Bachelor of Pharmacy - BPharm

• David Grant USAF Medical Center

  PGY1

• Trident University International

  Master of Business Administration (MBA)

Skills

• Military Experience
• Program Management
• Air Force
• U.s. Department of Defense
• Patient Safety
• Pharmaceutical Industry
• Business Process Improvement
• Accreditation
• Pharmacy
• Healthcare Management
• Clinical Trials
• Microsoft Office
• Clinical Pharmacy
• Dod
• Team Building
• Management
• Government
• Anticoagulation
• Patient Education
• Training
• Healthcare
• Military Operations
• Command
• Research
• Military
• Clinical Research
• Pharmacy Automation
• Policy
• Protocol
• Leadership Development
• Pharmacueticals
• Medicine
• Hospitals
• Security Clearance
• Pharmacists
• Pharmacy Practice
• Process Improvement
• Jcaho
• Inpatient Care
• Leadership