CorCareRX

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State of Minnesota Workers Compensation CorCare
Rx-Pharmacy Program
Katie Friend, Account Manager Deb Campbell, Area
Vice President October 2008
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Pharmacy Costs

• Pharmacy costs make up 10-15 of the total
  medical charges on Workers Compensation Claims

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Missed Savings

• Billed RX Charges for Past Year
• 1,236,736
• Potential Savings with CCRX-15 185,510

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Agenda

• Program Benefits
• Network
• First Fill Cards
• Mail Order
• ID Card Work Flow

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Benefits

• No Out-of-Pocket Expense for Injured Employee
• Large Pharmacy Network
• Eliminates Calls from Third Party Payors and/or
  Pharmacies
• Savings are Captured with First Prescription

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Benefits

• Utilization Management
• Refill too Soon
• High Dose Alerts
• Generic Substitutions
• WC Formulary-Common Exclusions
• Diabetic Supplies, Immunologicals, Lipitor,
  Smoking Cessation Drugs, Vitamins, etc.

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Minnesota-Network

• Retail Service
• Over 800 Retail Pharmacies in CorVel Network
• Cub, CVS, Rainbow, Target, Snyder's, Walgreens,
  Wal-Mart
• Prior Authorization Process Managed by CorVel
• 24/7 Customer Service available for Injured
  Employee, Employer Pharmacies

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Benefits of First Fill

• First Fill Program
• No Out-of Pocket Expense for Injured Employee
• Expedites Treatment
• Reduces Cost
• Savings are Captured with First Prescription

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Long Term Prescriptions

• Mail Order
• DOI gt 6 months or Diagnosis Code with 3 or More
  Refills of Same Medication
• Up to 90 Day Allowance of Medications Following
  WC Formulary Guidelines
• Convenient Safe with Timely Delivery
• Compliance Monitoring Education with Clinical
  Pharmacist Available 24/7
• Increased Cost Savings

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Pharmacy ID Cards

• Required Program Component
• Cards are Termed in 90 Days
• Unique ID Number for Each Claim
• Eliminates Out-of-Pocket Payments

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Summary

• State of MN and CorVel-CCRX
• Working to relieve your headaches one
  prescription at a time!

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