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Mail Order Pharmacy

Mail Order Pharmacy. What You Don’t Know Will Hurt You!. Mail Order Pharmacy. Builds a case for savings through:. Perceived Discounts Not Actual Dollars. Example:. Brand Name Prescription Retail Pricing AWP – 14% Mail Pricing AWP – 22% Brand Prescription AWP - $100.00

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Mail Order Pharmacy

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  1. Mail Order Pharmacy What You Don’t Know Will Hurt You!

  2. Mail Order Pharmacy Builds a case for savings through: • Perceived Discounts • Not Actual Dollars

  3. Example: Brand Name Prescription • Retail Pricing AWP – 14% • Mail Pricing AWP – 22% Brand Prescription AWP - $100.00 • Retail AWP – 14% 100.00 – 14.00 = $86.00 • Mail Order AWP – 22% 100.00 – 22.00 = $78.00 $8.00 Savings

  4. Mail Order Alters or Uses Higher AWP Products • Retail AWP – 14% • 100.00 – 14.00 = $86.00 • Mail Order AWP – 22% • 150.00 – 33.00 = $117.00 - $31.00

  5. Example Generic Prescription: Retail Pricing: MAC Pricing set at $0.20 x 60 = $12.00 Mail Pricing: AWP – 50% AWP = $1.00 x 60 = $60.00 60.00 - 50% = $30.00 - $ 18.00

  6. Co-Pay Issue Pfizer Study • Retail co-pay $30.00 X 3 $90.00 • MAC co-pay $30.00 / per one 3 month supply Payer picks up $60.00 of cost. *If prescription is not $60.00 cheaper, then government costs go up.

  7. Lipitor - Redbook

  8. Repackaging Example:Lipitor 20mg #30 • At Retail • Pharmacy Paid • AWP-14% + $2.00 • AWP* = $4.16/tablet • 30 x $4.16 = $124.80 • $124.80 - $17.47 + $2.00 = $109.33 • At Mail Order • Pharmacy Paid • AWP-22% + $0.00 • AWP* = $6.81/tablet • 30 x $6.81 = $ 204.30 • $204.30 - $44.95 + $0.00 = $159.35 $50.02 more at Mail Order vs. Retail *2007 Red Book Pricing

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