International Prescription Programs

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International Prescription Programs
Presenters G. Anthony Howard President CEO
CanaRx Services Inc. Margaret M. McNamara
Director of Pharmacy COO CanaRx Services Inc.
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Agenda

• U.S. Medication Costs
• Drug Utilization
• Legality
• Safety
• Service
• Savings

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Drug Cost Comparison
CPI
U.S. Drug Cost
CPI
CanaRx Total Cost
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Video

• CNN House Call with Dr. Sanjay Gupta

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Top 10 Brands
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Drug Utilization
Mail
Local
Generic
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Generics
Locally Supplied Multi-sourced Competition
Lowest Cost Option Minimal Inflation No
International Savings
Generic
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Locally Supplied

• Require MDs Supervision
• Application
• Variable Dosage
• 30 Day Supply Or Less
• Antibiotics
• Acute Care
• Restricted From Mail
• Controlled Substances
• Decongestants
• Refrigerated / Bulk

Local
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Mail Order

• Maintenance Meds
• Long Term Chronic Therapy
• 90 Day Supply
• Name Brand
• Single Sourced
• Highest Cost
• Greatest Inflation

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International Issues
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Legal Issues

• FDA Concerns
• Personal Importation Directive 
• Wholesale Prohibited
• Internationally Compliant 
• Tier 1 Countries
• Dispensing Model 
• Inspections 

Legality
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Legal Issues

• FDA Concerns
• Program Liabilities
• Individually Purchased 
• Voluntary Program 
• Reimbursement

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Legal Issues

• FDA Concerns
• Program Liabilities
• P.B.M. Contracting 
• Wholesale Marketing Prohibited
• Personal Purchase Outside of Contract 
• HIPAA Compliant

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Safety Issues

• Product Sourcing
• FDA Approved Manufacturing Facilities / Tier 1
  Countries
• Government Regulated
• Certified Meds
• Factory Sealed Packaging
• Drug Pedigree

Safety
Legality
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International Drug Pedigree
Pharmaceutical Manufacturer
Wholesaler
Registered Licensed Pharmacy
Patient
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Safety Issues

• Product Sourcing
• Distribution Network
• Practicing Licensed MDs
• Active Licensed Pharmacists
• Certified Licensed
• Pharmacies
• CanaRx Inspected

Safety
Legality
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Safety Issues

• Product Sourcing
• Distribution Network
• Mandatory Standards
• Restricted Formulary
• No New-to-you Meds
• Education Leaflets
• AMA Verification
• U.S. Based DUR
• 24/7 On Call Pharmacist

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Service Standards

• Launch Support
• Seamless Open Enrollment 
• Program Verifications
• Customer Service Reps
•   
• Customized Reporting 

Service
Safety
Legality
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Savings

• Retail vs. CanaRx
• Savings Summaries

Savings!
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Domestic Retail vs. CanaRx Cost Comparison
Savings 49
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City Meds Example (Inception Date August 1,
2005) Summary Savings Results April 1- June 30,
2007
Projected Twelve Month Savings 792,078.32
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County Meds Example (Inception Date December
13, 2004) Summary Savings Results January 1- June
30, 2007
Projected Twelve Month Savings 1,356,682.66
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Order Flow Chart
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Order Flow Chart
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Order Flow Chart
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Order Flow Chart
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Drug Cost Comparison
CPI
U.S. Drug Cost
CPI
CanaRx Total Cost