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2009 Retiree Symposium

2009 Retiree Symposium. Making the Prescription Drug Benefit Work for You Presented by: Ashley Blevins Peter Orlaskey Judi Middleton. World Bank Catalyst Rx Team. A Prescription for Success. Ashley Blevins, Director of Client Services, 7 years of healthcare experience

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2009 Retiree Symposium

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  1. 2009 Retiree Symposium Making the Prescription Drug Benefit Work for You Presented by: Ashley Blevins Peter Orlaskey Judi Middleton

  2. World Bank Catalyst Rx Team A Prescription for Success • Ashley Blevins, Director of Client Services, 7 years of healthcare experience • Judi Middleton, Sr. Client Services Manager, over 25 years of healthcare experience • Peter Orlaskey, Pharm D., Clinical Manager, 5 years of pharmacy experience • Erin Picariello, Client Services Representative, 6 years of healthcare experience …expanding your PBM know-how

  3. Catalyst Rx Corporate Overview A Prescription for Success • Catalyst Rx is a full-service national pharmacy benefit management company providing benefits since 1994 • 4th largest publicly traded PBM (NASDAQ: CHSI) • Manage pharmacy benefits for 6 million members …expanding your PBM know-how Our mission is to deliver unbiased pharmacy benefit management solutions that improve patient safety, achieve the highest standards of care, and effectively manage our clients’ drug costs

  4. Catalyst Rx Customer Service A Prescription for Success • Dedicated team of experienced Nationally Certified Pharmacy Technicians via fully integrated 24/7/365 service centers located in Las Vegas, NV, Ft. Lauderdale, FL, San Juan, PR, Avon Lake, OH, and Des Moines, IA • Immediate access to benefit parameters, eligibility, retail and specialty data • Q1 2009 Service Level Validation • Consistently exceeding industry standards in all key categories • Average speed to answer : <22 seconds • Call abandonment rate: < 2.8% • First call resolution: 99.7% • Comprehensive prior authorization processing: < 24 hours …expanding your PBM know-how

  5. Mail Order Statistics A Prescription for Success • January 1, 2009 – April 30, 2009 • 5,706 Total Scripts Filled • 1.32 Average Days in House • 96.41% 2-day Turn Around …expanding your PBM know-how

  6. Generic Medications A Prescription for Success • Accounted for over 72% of all drugs filled in 2008 vs. 56% for World Bank • Saved an estimated $121 billion for the healthcare system in 2008 • Regulated by the Food & Drug Administration (FDA) • Contain the same active ingredient as the Brand drug • Manufactured in FDA approved facilities …expanding your PBM know-how

  7. Cholesterol Drugs A Prescription for Success • Generics • Simvastatin, Pravastatin, Lovastatin • Average Yearly Cost: Member - $0, World Bank - $105 • Preferred Brand Names • Lipitor, Crestor, Advicor, Simcor • Average Yearly Cost: Member - $228, World Bank - $913 • Non-Preferred Brand Names • Lescol, Altocor, Vytorin, Altoprev • Average Yearly Cost: Member - $333,World Bank - $776 …expanding your PBM know-how

  8. GERD/Heartburn Drugs A Prescription for Success • Generics • Omeprazole, Pantoprazole • Average Yearly Cost: Member - $0, World Bank - $882 • Omeprazole: $407 • Pantoprazole : $ 1200 • Preferred Brand Names • Nexium, Prevacid • Average Yearly Cost: Member - $413, World Bank - $1,700 • Non-Preferred Brand Names • Aciphex, Protonix • Average Yearly Cost: Member - $632, World Bank - $1,500 …expanding your PBM know-how

  9. Chronic Disease Non-Compliance A Prescription for Success • What percentage of prescriptions written for chronic diseases are never picked up? • A. 25% • B. 50% • C. 75% • D. 100% …expanding your PBM know-how

  10. Non-Compliance leads to: A Prescription for Success • Unnecessary disease progression • Disease complications • Reduced functional abilities • Lower quality of life • Increased medical costs • Premature death …expanding your PBM know-how

  11. Reasons for Non-Compliance A Prescription for Success …expanding your PBM know-how

  12. How Catalyst Improves Compliance A Prescription for Success • Education • Generics • Simplify the medication regimen • Patient reminder aids • Auto-refill • Refill reminders • Behavioral support • Devices/Programs …expanding your PBM know-how

  13. Three Things to Remember! A Prescription for Success • Share your Preferred Drug List with your Doctor • Always ask for Generics when possible • If you are prescribed a non-preferred drug, ask if a generic or preferred brand is available …expanding your PBM know-how

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