Managing new product requests can feel like drinking from a firehose—emails, hallway conversations, one-off clinician asks and even vendor-initiated requests. In this session, attendees will learn practical approaches for building a more structured product-request intake and governance process. Explore evidence review workflows that make decisions more consistent, defensible and transparent. Learn how maturing organizations move toward a more intentional, manageable approval posture by tightening criteria, strengthening multidisciplinary alignment and focusing on unwarranted variation. Walk away with strategies for shifting from clinical preference-driven decisions to evidence-based evaluation and variation management clinicians can trust.