KohllsRxMPSSMedsBUYMail

1
Kohlls/RxMPSS/MedsBUYMail

• Louis Kohll, R.Ph.

Managers and Consultants for Mail and
Prescription Drug Benefit Services.
15 Savings Guaranteed in writing
2
KRM Background Information

• Mail Service Pharmacy 1986
• Employer Prescription Benefits and Reports
• Pharmacy Network and Processing Rx claims
• Employ clinical pharmacists - 1993
• Prescription benefit services for the employer,
  TPA, Broker, consultant and employee
• Guaranteed savings

3
Employer Strategies Controlling Your
Prescription Drug Costs

• MedsBUYMail has developed a prescription program
  that can control and sustain drug costs
• Increase generic utilization.
• Increase Mail service utilization
• Educate the employee
• Educate the Physician
• Generic Therapeutic Alternative Program
• (G-TAP)

4
Educate the Physician to prescribe a generic
therapeutic alternative drug (G-TAP) for a
branded product that does not have a generic
availalble.
Physician
Branded Drug
MedsBUYMail G-TAP
through the G-TAP Program.
Brand with a Generic
Employee
5
Generic Therapeutic Alternative Program (G-TAP)
Examples.

• Branded Qty Price G-TAP Qty Price Saving
  s
• Drug
• Premarin 1.25 90 113.92 Estriopate 90 25.03
  88.89
• Celebrex 200mg 90 256.43 Oxaprazosin 180 76
  .63 179.80
• Accupril 20mg 90 115.85 Lisinopril
  90 33.86 81.99
• Lescol XL 80mg 90 215.37 Lipitor
  20mg 45 157.14 58.23
• Tricor 160mg 90 275.41 Gemfibrozil 180 66.1
  1 209.30
• Amaryl 4mg 360 396.56 Glybur
  micro 360 23.06 373.50
• Paxil CR 25mg 90 250.44 Paroxetine 90 173.3
  6 77.08
• Actos 15mg 90 297.40 Metformin 90 42.77 25
  4.63
• Toprol XL 50mg 90 69.67 Metoprolol 90 12.3
  8 57.29
• Zoloft 50mg 90 237.16 Zoloft
  100mg 45 122.08 115.08
• Lipitor 20mg 90 307.30 Lipitor
  40mg 45 157.14 150.16
• Total 2,535.51 889.56 1,645.85

6
MedsBUYMail is not contracted directly with
Manufacturers, we are not owned by insurance
companies or other Mail order houses therefore

• Our formulary drug is normally a brand with a
  generic.
• Our formulary drugs are more reliable medications
  that have been prescribed for many years.
• Our Employee education program educates members
  to make a more economical choice.
• The drug data accumulated is still submitted for
  rebates.

7
Our Strengths

• Mail ordered prescriptions mailed out in 24
  hours.
• For new groups, MedsBUYMail will contact the
  Physicians office or Pharmacy for the new
  transferred drug orders.
• Prescription dispensing is tracked throughout the
  pharmacy.
• Generic therapeutic alternative drugs are
  discussed with each member.
• To place new or refill orders an employee can
  fax, call, e-mail or mail in their requests
  24hrs a day.
• Live operators on duty.

8
Key Benefits

• We will increase your generic utilization through
  the G-TAP Program.
• We will increase your mail service utilization,
  through our Employee education program.
• Your reports are produced quarterly.
• MedsBUYMail will guarantee you a 15 savings in
  writing.

9
Next Steps

• Submit your most recent quarterly dug report to
  MedsBUYMail by.
• We will send you our prices lined up
  side-by-side.
• Send your co-pay schedule, exclusion list,
  special benefit designs and formulary.

10
Administrative Burden For HR When Carving The
Drugs Out.

• SPDs for Rx plan?
• Reporting? Carrier integration.
• Reinsurance claims filed with combined medical/Rx
• ID Cards
• Eligibility
• Cobra
• Care Coordination /Case management

11
TPA Third Party Administrators

• Coordinates claims data, Rx, network,
  reinsurance, reports, cobra, case mgt
• 1 medical card Medical/Rx
• More choices in Carriers to compete for the best
  price
• Flexibility in medical / Rx plan design
• Corporate Plan Mgt, FMR (KC), EPOCH,
• Mid-American Benefits, Benefit Group, HDM, Core
  Source, First Plan, Admin One