A&M Care Plan 2011 Prescription Drug Program
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1 &M are Plan 2011 Prescription Drug Program
2 oday s genda Your Medco prescription drug plan Benefit description Specialized care ools to help manage the prescription benefit > Online aps in are lerts > My Rx hoices he importance of generic utilization > Other available resources 2010 Medco Health Solutions, Inc. ll rights reserved. 2
3 Your Medco Prescription Drug Plan Medco administers your prescription drug plans on behalf of the &M are plan. Benefit includes both a retail and mail component 2010 Medco Health Solutions, Inc. ll rights reserved. Medco has its own mail-order pharmacy Medco By Mail where specialist pharmacist focus on compliance and lower cost options for the patient, and the automated filling system ensures the prescription is filled accurately.* Medco s mail-order pharmacies fill about 2 million prescriptions per week through a highly automated process that is % accurate and is 23 times more accurate than a retail pharmacy Dispensing Error Rate in a Highly utomated Mail-Service Pharmacy Practice ; Nov. 2007, Pharmacology, a peer-reviewed journal of the merican ollege of linical Pharmacy 3
4 Prescription Drug Benefits nnual Deductible $50 per person per year / $150 per family per year (Deductible does not apply to medical plan deductible) ccess Options eneric Drug opayment Preferred Drug opayment Non-Preferred Drug opayment Retail 30 Day Supply: Refills allowed as prescribed. (ood option for new prescriptions) Retail 90 Day Supply: Refills allowed as prescribed $10 $35 $60 $30 $105 $180 Medco By Mail Pharmacy: Up to a 90-day supply*. Refills allowed as prescribed (Best option for maintenance medication) $20 $70 $120 * If you obtain a brand-name drug when a generic equivalent is available, you are responsible for the generic copayment plus the cost difference between the brand-name drug and the generic drug. hart illustrates benefits when network pharmacies are used. Non-network benefits are also available; see Enrollment uide for more information Medco Health Solutions, Inc. ll rights reserved. 4
5 Rx Benefit Information Specifics Retail pharmacies are ideal for acute (short-term) and new medication you may be trying for the first time. If you are taking a long-term medication, filling your prescriptions through Medco s mail-order pharmacy provides several benefits. You have access to specialist pharmacists whether you fill your prescription at a retail pharmacy or at Medco By Mail 2010 Medco Health Solutions, Inc. ll rights reserved. 5
6 he right care at the right time Specialization and member engagement are critical components to controlling health care costs and driving quality clinical outcomes: Specialist pharmacists ccredo Health roup Personalized medicine offering losing gaps in care My Rx hoices Medco pp enerics Rx dvantage Worry Free Fills Other available resources 2010 Medco Health Solutions, Inc. ll rights reserved. 6
7 Patient Stratification: Patient s needs vary Patient are Needs Well cute hronic omplex Wrinkles, Baldness, Impotence, ontraception, Vitamins olds & Flu, Strep hroat, Ear Infection, Headache, Sprains Heart Disease, Diabetes, rthritis, High Blood Pressure, High holesterol, Dementia, Back Pain Multiple hronic onditions such as Heart Failure & Diabetes, ancer, IDS, Multiple Sclerosis, Metabolic Syndrome Medco s specialist pharmacists create a patient experience which improves the quality of member care and increases savings for our clients 2010 Medco Health Solutions, Inc. ll rights reserved. 7
8 Specialty Medications Medco provides specialty pharmacy services through our wholly owned subsidiary ccredo Health roup, Inc. What are specialty medications? High cost infused, injectable, and oral drugs that typically require added supervision of patient therapy With ccredo, at no extra cost, you ll benefit from: Personalized are Safe, prompt delivery 24 hour support Refill reminders Drug safety monitoring 2010 Medco Health Solutions, Inc. ll rights reserved. 8
9 Personalized Medicine science that examines the inherited variations in genes that dictate drug response (whether a drug will be effective or safe) Personalizing drug therapy based on each patient's genetic variability &M are provides this service to new patients if both the doctor and patient wish to take the test esting consists of a cheek swab 2010 Medco Health Solutions, Inc. ll rights reserved. 9
10 ypes of aps in are Online lerts dherence Omission On track 2010 Medco Health Solutions, Inc. ll rights reserved. 10
11 lose-up: Sample alert message Information about the alert and why it s important bility for patients to self-close gaps as appropriate Video clips relevant to each alert Links to additional resources ccess to Medco pharmacists Printable information to take to the doctor Medco Health Solutions, Inc. ll rights reserved. 11
12 My Rx hoices Your online savings tool Lower your cost for prescriptions with My Rx hoices Simply visit You ll need to take a moment to register before using this service. You can also call You have to shop your benefit. Prices can vary at different retail pharmacies 2010 Medco Health Solutions, Inc. ll rights reserved. 12
13 My Rx hoices vailable through ustomer Service or on Medco Health Solutions, Inc. ll rights reserved. 13
14 My Rx hoices Helps you make the right decisions with your physicians while still in the exam room. Benefit-specific pricing so the right drug gets prescribed on Day 1. overage Review notification and real-time drug interaction checker to avoid disruption 2010 Medco Health Solutions, Inc. ll rights reserved. 14
15 Medicine abinet Provides you with an easy tool to cope with the array of instructions that accompany multiple prescriptions Sends alerts to your Smartphone so you never miss a dose or refill. Loads and updates your medications for you so you don t have to worry about it 2010 Medco Health Solutions, Inc. ll rights reserved. 15
16 Virtual ID ard Provides you with a virtual prescription card right on your phone 2010 Medco Health Solutions, Inc. ll rights reserved. 16
17 enerics Rx dvantage Waiver Opportunities enerics Rx dvantage Includes wo ypes of Waiver Opportunities*: eneric opay Waivers Full copay waivers for a 3-months supply for new* generic prescriptions at the Medco Pharmacy, including: > ny brand prescription (retail or mail) submitted as a generic at mail; > Retail generic prescriptions moved to mail; > New generic prescriptions submitted at mail Off-patent opay Waivers opay waivers (up to $25) for selected brand prescriptions that will soon become generic, when these prescriptions are moved from a retail pharmacy to the Medco Pharmacy Off-patent copay waivers will be available 6 months prior to the expected generic launch of selected brands. You must respond to Medco in order to participate in the program and be eligible for waivers 2010 Medco Health Solutions, Inc. ll rights reserved. 17
18 Worry-free Fills Worry-free Fills is an automatic refill program available to &M are members who utilize the Medco Pharmacy. Members enroll for the program at the drug level. If you choose to enroll a particular medication, a reminder letter is either mailed or ed to you approximately three weeks before the prescription is filled Medco Health Solutions, Inc. ll rights reserved. 18
19 Information Resources &M Benefits Web site Pharmacy Benefit Highlights List of participating retail pharmacies Download forms Medco Member Web site Formulary Information Locate a Participating Pharmacy Health and Wellness Information My Rx hoices / Price a Medication Online Ordering Order Medco By Mail Refills Download forms Medco widget ustomer Service Number nnual Enrollment Book 2010 Medco Health Solutions, Inc. ll rights reserved. 19
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