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cover my meds ® ONC ISPTF Real-Time Patient Pricing Transparency Kim Boyd and Ryan Tarzy July 9, 2019

CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

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Page 1: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

covermymedsreg

ONC ISPTF Real-Time Patient Pricing Transparency Kim Boyd and Ryan Tarzy July 9 2019

O U R M I S S I O N

CoverMyMeds helps patients get the medication they need to

live healthy lives

I 100M

SOM

60M

40M

20M

0 2009 2011 2012 2013 2014 2015 2016 2017 2018

Healthier Lives 142036249

A L L T I M E

copy 2019 Cov

I

Largest Network

500+ Integrated EHRs

700000+ Providers 94

of Prescription Volume

Payers Representing

96 of Pharmacy locations nationwide

200+ Life Science Brands

75+ Life Science Manufacturers

copy 2019 CoverMyMeds LLC

I

2018 A Monumental Year of Service In 2018 CoverMyMeds processed a record number of PA requests mdash 417 million total mdash saving time for providers and patients

104 million hours 1186 million days $3434 million saved by providers in preventing saved in time to therapy for saved by providers offices

phone calls and faxes patients by completing PA requests by keeping staff off phones at the point of prescribing and fax machines1

1 Based on median registered nurse salary of $68450 per year copy 2019 CoverMyMeds LLC

covermymedsreg

Real-Time Benefit Check (RTBC)

2018 Real-Time Benefit Check National Adoption Scorecard

0 10

A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available

Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101

1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved

I

60

55

50

45

4 0

35

30

25

20

15

10

5

0 I I I Very Rarely

-

-

- - - -

- - -

- - - -

I Rarely Occasio nally Very Frequently Always

Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe

70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe

copy 2019 CoverMyMeds LLC

I

National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further

SURVEY QUESTION SURVEY QUESTION

Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive

75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much

copy 2019 CoverMyMeds LLC

Empowering providers and patients to make decisions about their medication therapy before

finalizing the prescription

I

Sample Responses

$20 Patient Pay Amount

Product Not Covered

PA Requi red Submit Prospective PA

X y z

Introducing RxBenefit Clarity

Delivering True Price Transparency at the Point-of-Prescribing

bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required

bull Provides real-time focused insights via the physician workflow

bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking

bull Helps improve physician and patient satisfaction

copy 2019 CoverMyMeds LLC

I

The Power Of The Pharmacy Network

Patient Benefit Lookup Patient Assistance

Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy

35 of the time or cash programs

copy 2019 CoverMyMeds LLC

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 2: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

O U R M I S S I O N

CoverMyMeds helps patients get the medication they need to

live healthy lives

I 100M

SOM

60M

40M

20M

0 2009 2011 2012 2013 2014 2015 2016 2017 2018

Healthier Lives 142036249

A L L T I M E

copy 2019 Cov

I

Largest Network

500+ Integrated EHRs

700000+ Providers 94

of Prescription Volume

Payers Representing

96 of Pharmacy locations nationwide

200+ Life Science Brands

75+ Life Science Manufacturers

copy 2019 CoverMyMeds LLC

I

2018 A Monumental Year of Service In 2018 CoverMyMeds processed a record number of PA requests mdash 417 million total mdash saving time for providers and patients

104 million hours 1186 million days $3434 million saved by providers in preventing saved in time to therapy for saved by providers offices

phone calls and faxes patients by completing PA requests by keeping staff off phones at the point of prescribing and fax machines1

1 Based on median registered nurse salary of $68450 per year copy 2019 CoverMyMeds LLC

covermymedsreg

Real-Time Benefit Check (RTBC)

2018 Real-Time Benefit Check National Adoption Scorecard

0 10

A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available

Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101

1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved

I

60

55

50

45

4 0

35

30

25

20

15

10

5

0 I I I Very Rarely

-

-

- - - -

- - -

- - - -

I Rarely Occasio nally Very Frequently Always

Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe

70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe

copy 2019 CoverMyMeds LLC

I

National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further

SURVEY QUESTION SURVEY QUESTION

Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive

75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much

copy 2019 CoverMyMeds LLC

Empowering providers and patients to make decisions about their medication therapy before

finalizing the prescription

I

Sample Responses

$20 Patient Pay Amount

Product Not Covered

PA Requi red Submit Prospective PA

X y z

Introducing RxBenefit Clarity

Delivering True Price Transparency at the Point-of-Prescribing

bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required

bull Provides real-time focused insights via the physician workflow

bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking

bull Helps improve physician and patient satisfaction

copy 2019 CoverMyMeds LLC

I

The Power Of The Pharmacy Network

Patient Benefit Lookup Patient Assistance

Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy

35 of the time or cash programs

copy 2019 CoverMyMeds LLC

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 3: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

I 100M

SOM

60M

40M

20M

0 2009 2011 2012 2013 2014 2015 2016 2017 2018

Healthier Lives 142036249

A L L T I M E

copy 2019 Cov

I

Largest Network

500+ Integrated EHRs

700000+ Providers 94

of Prescription Volume

Payers Representing

96 of Pharmacy locations nationwide

200+ Life Science Brands

75+ Life Science Manufacturers

copy 2019 CoverMyMeds LLC

I

2018 A Monumental Year of Service In 2018 CoverMyMeds processed a record number of PA requests mdash 417 million total mdash saving time for providers and patients

104 million hours 1186 million days $3434 million saved by providers in preventing saved in time to therapy for saved by providers offices

phone calls and faxes patients by completing PA requests by keeping staff off phones at the point of prescribing and fax machines1

1 Based on median registered nurse salary of $68450 per year copy 2019 CoverMyMeds LLC

covermymedsreg

Real-Time Benefit Check (RTBC)

2018 Real-Time Benefit Check National Adoption Scorecard

0 10

A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available

Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101

1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved

I

60

55

50

45

4 0

35

30

25

20

15

10

5

0 I I I Very Rarely

-

-

- - - -

- - -

- - - -

I Rarely Occasio nally Very Frequently Always

Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe

70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe

copy 2019 CoverMyMeds LLC

I

National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further

SURVEY QUESTION SURVEY QUESTION

Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive

75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much

copy 2019 CoverMyMeds LLC

Empowering providers and patients to make decisions about their medication therapy before

finalizing the prescription

I

Sample Responses

$20 Patient Pay Amount

Product Not Covered

PA Requi red Submit Prospective PA

X y z

Introducing RxBenefit Clarity

Delivering True Price Transparency at the Point-of-Prescribing

bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required

bull Provides real-time focused insights via the physician workflow

bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking

bull Helps improve physician and patient satisfaction

copy 2019 CoverMyMeds LLC

I

The Power Of The Pharmacy Network

Patient Benefit Lookup Patient Assistance

Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy

35 of the time or cash programs

copy 2019 CoverMyMeds LLC

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 4: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

I

Largest Network

500+ Integrated EHRs

700000+ Providers 94

of Prescription Volume

Payers Representing

96 of Pharmacy locations nationwide

200+ Life Science Brands

75+ Life Science Manufacturers

copy 2019 CoverMyMeds LLC

I

2018 A Monumental Year of Service In 2018 CoverMyMeds processed a record number of PA requests mdash 417 million total mdash saving time for providers and patients

104 million hours 1186 million days $3434 million saved by providers in preventing saved in time to therapy for saved by providers offices

phone calls and faxes patients by completing PA requests by keeping staff off phones at the point of prescribing and fax machines1

1 Based on median registered nurse salary of $68450 per year copy 2019 CoverMyMeds LLC

covermymedsreg

Real-Time Benefit Check (RTBC)

2018 Real-Time Benefit Check National Adoption Scorecard

0 10

A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available

Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101

1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved

I

60

55

50

45

4 0

35

30

25

20

15

10

5

0 I I I Very Rarely

-

-

- - - -

- - -

- - - -

I Rarely Occasio nally Very Frequently Always

Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe

70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe

copy 2019 CoverMyMeds LLC

I

National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further

SURVEY QUESTION SURVEY QUESTION

Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive

75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much

copy 2019 CoverMyMeds LLC

Empowering providers and patients to make decisions about their medication therapy before

finalizing the prescription

I

Sample Responses

$20 Patient Pay Amount

Product Not Covered

PA Requi red Submit Prospective PA

X y z

Introducing RxBenefit Clarity

Delivering True Price Transparency at the Point-of-Prescribing

bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required

bull Provides real-time focused insights via the physician workflow

bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking

bull Helps improve physician and patient satisfaction

copy 2019 CoverMyMeds LLC

I

The Power Of The Pharmacy Network

Patient Benefit Lookup Patient Assistance

Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy

35 of the time or cash programs

copy 2019 CoverMyMeds LLC

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 5: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

I

2018 A Monumental Year of Service In 2018 CoverMyMeds processed a record number of PA requests mdash 417 million total mdash saving time for providers and patients

104 million hours 1186 million days $3434 million saved by providers in preventing saved in time to therapy for saved by providers offices

phone calls and faxes patients by completing PA requests by keeping staff off phones at the point of prescribing and fax machines1

1 Based on median registered nurse salary of $68450 per year copy 2019 CoverMyMeds LLC

covermymedsreg

Real-Time Benefit Check (RTBC)

2018 Real-Time Benefit Check National Adoption Scorecard

0 10

A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available

Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101

1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved

I

60

55

50

45

4 0

35

30

25

20

15

10

5

0 I I I Very Rarely

-

-

- - - -

- - -

- - - -

I Rarely Occasio nally Very Frequently Always

Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe

70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe

copy 2019 CoverMyMeds LLC

I

National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further

SURVEY QUESTION SURVEY QUESTION

Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive

75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much

copy 2019 CoverMyMeds LLC

Empowering providers and patients to make decisions about their medication therapy before

finalizing the prescription

I

Sample Responses

$20 Patient Pay Amount

Product Not Covered

PA Requi red Submit Prospective PA

X y z

Introducing RxBenefit Clarity

Delivering True Price Transparency at the Point-of-Prescribing

bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required

bull Provides real-time focused insights via the physician workflow

bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking

bull Helps improve physician and patient satisfaction

copy 2019 CoverMyMeds LLC

I

The Power Of The Pharmacy Network

Patient Benefit Lookup Patient Assistance

Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy

35 of the time or cash programs

copy 2019 CoverMyMeds LLC

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 6: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

covermymedsreg

Real-Time Benefit Check (RTBC)

2018 Real-Time Benefit Check National Adoption Scorecard

0 10

A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available

Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101

1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved

I

60

55

50

45

4 0

35

30

25

20

15

10

5

0 I I I Very Rarely

-

-

- - - -

- - -

- - - -

I Rarely Occasio nally Very Frequently Always

Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe

70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe

copy 2019 CoverMyMeds LLC

I

National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further

SURVEY QUESTION SURVEY QUESTION

Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive

75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much

copy 2019 CoverMyMeds LLC

Empowering providers and patients to make decisions about their medication therapy before

finalizing the prescription

I

Sample Responses

$20 Patient Pay Amount

Product Not Covered

PA Requi red Submit Prospective PA

X y z

Introducing RxBenefit Clarity

Delivering True Price Transparency at the Point-of-Prescribing

bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required

bull Provides real-time focused insights via the physician workflow

bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking

bull Helps improve physician and patient satisfaction

copy 2019 CoverMyMeds LLC

I

The Power Of The Pharmacy Network

Patient Benefit Lookup Patient Assistance

Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy

35 of the time or cash programs

copy 2019 CoverMyMeds LLC

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 7: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

0 10

A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available

Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101

1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved

I

60

55

50

45

4 0

35

30

25

20

15

10

5

0 I I I Very Rarely

-

-

- - - -

- - -

- - - -

I Rarely Occasio nally Very Frequently Always

Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe

70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe

copy 2019 CoverMyMeds LLC

I

National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further

SURVEY QUESTION SURVEY QUESTION

Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive

75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much

copy 2019 CoverMyMeds LLC

Empowering providers and patients to make decisions about their medication therapy before

finalizing the prescription

I

Sample Responses

$20 Patient Pay Amount

Product Not Covered

PA Requi red Submit Prospective PA

X y z

Introducing RxBenefit Clarity

Delivering True Price Transparency at the Point-of-Prescribing

bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required

bull Provides real-time focused insights via the physician workflow

bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking

bull Helps improve physician and patient satisfaction

copy 2019 CoverMyMeds LLC

I

The Power Of The Pharmacy Network

Patient Benefit Lookup Patient Assistance

Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy

35 of the time or cash programs

copy 2019 CoverMyMeds LLC

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 8: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

I

60

55

50

45

4 0

35

30

25

20

15

10

5

0 I I I Very Rarely

-

-

- - - -

- - -

- - - -

I Rarely Occasio nally Very Frequently Always

Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe

70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe

copy 2019 CoverMyMeds LLC

I

National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further

SURVEY QUESTION SURVEY QUESTION

Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive

75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much

copy 2019 CoverMyMeds LLC

Empowering providers and patients to make decisions about their medication therapy before

finalizing the prescription

I

Sample Responses

$20 Patient Pay Amount

Product Not Covered

PA Requi red Submit Prospective PA

X y z

Introducing RxBenefit Clarity

Delivering True Price Transparency at the Point-of-Prescribing

bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required

bull Provides real-time focused insights via the physician workflow

bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking

bull Helps improve physician and patient satisfaction

copy 2019 CoverMyMeds LLC

I

The Power Of The Pharmacy Network

Patient Benefit Lookup Patient Assistance

Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy

35 of the time or cash programs

copy 2019 CoverMyMeds LLC

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 9: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

I

National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further

SURVEY QUESTION SURVEY QUESTION

Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive

75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much

copy 2019 CoverMyMeds LLC

Empowering providers and patients to make decisions about their medication therapy before

finalizing the prescription

I

Sample Responses

$20 Patient Pay Amount

Product Not Covered

PA Requi red Submit Prospective PA

X y z

Introducing RxBenefit Clarity

Delivering True Price Transparency at the Point-of-Prescribing

bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required

bull Provides real-time focused insights via the physician workflow

bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking

bull Helps improve physician and patient satisfaction

copy 2019 CoverMyMeds LLC

I

The Power Of The Pharmacy Network

Patient Benefit Lookup Patient Assistance

Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy

35 of the time or cash programs

copy 2019 CoverMyMeds LLC

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 10: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

Empowering providers and patients to make decisions about their medication therapy before

finalizing the prescription

I

Sample Responses

$20 Patient Pay Amount

Product Not Covered

PA Requi red Submit Prospective PA

X y z

Introducing RxBenefit Clarity

Delivering True Price Transparency at the Point-of-Prescribing

bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required

bull Provides real-time focused insights via the physician workflow

bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking

bull Helps improve physician and patient satisfaction

copy 2019 CoverMyMeds LLC

I

The Power Of The Pharmacy Network

Patient Benefit Lookup Patient Assistance

Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy

35 of the time or cash programs

copy 2019 CoverMyMeds LLC

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 11: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

I

Sample Responses

$20 Patient Pay Amount

Product Not Covered

PA Requi red Submit Prospective PA

X y z

Introducing RxBenefit Clarity

Delivering True Price Transparency at the Point-of-Prescribing

bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required

bull Provides real-time focused insights via the physician workflow

bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking

bull Helps improve physician and patient satisfaction

copy 2019 CoverMyMeds LLC

I

The Power Of The Pharmacy Network

Patient Benefit Lookup Patient Assistance

Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy

35 of the time or cash programs

copy 2019 CoverMyMeds LLC

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 12: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

I

The Power Of The Pharmacy Network

Patient Benefit Lookup Patient Assistance

Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy

35 of the time or cash programs

copy 2019 CoverMyMeds LLC

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 13: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

I

covermymedsreg ~ RelayHealth

(JJ

How RxBenefit Clarity Works

EHR

bull Initiates Request transaction

bull Includes bull Pharmacy Benefit

Information bull Drug bull Patient Pharmacy

bull Displays Response from CoverMyMeds

bull Receives EHR request

bull Sends request to PBM API or RelayHealth if no direct payer connection exists

bull Captures response from PBM or RelayHealth

bull Sends response to EHR

bull Formats request data for obtaining benefit response from payer or historical claims

Benefit Processor

bull Processes request and sends response

bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives

PBM API

bull Processes request and sends response

bull Mail Order bull Alternatives

copy 2019 CoverMyMeds LLC

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 14: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

I

Methods for Patient Getting Medication

Cash Coupon Solution PBM Solution

Phar

mac

yPB

M

PBM

PBM

or S

elf

Ex P

ublix

Life

Sci

ence

Cash Discount Special Pharmacy Cash

Patient Assistance Benefit Alternatives

PBM

Mail Order

Patient Gets Medication Patient Gets Medication

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 15: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

I covermymedsreg

CoverMyMeds Vision to Help All Patients

Patient Matching and Eligibility Look up

Dat

aPh

arm

acy

Ex P

ublix

Life

Sci

ence

Phar

mac

yPB

M

PBM

PBM

Cash Special Pharmacy Cash

Patient Assistance Benefit Alternatives Mail Order

Patient Gets Medication

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 16: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

I

0 bull

bull bull bull bull

RxBC Patient Decision Support in 025 Seconds

Patient Cost Using Benefit Pharmacy Dispensing Insights

Clinically Appropriate Alternatives Automatic Patient Assistance

PA Indication with Post PA Cost Cash and Pharmacy Special Pricing

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 17: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

I

bull 0 bull bull bull

copy 2018 CoverMyMeds LLC All I -Rghts Reserved

Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches

Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs

Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications

Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients

Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy

Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 18: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

v COVERMYMEDS EHR 4 ~ Dr Smith

Q Dashboard

+ NEW PATIENT Medication Order

g Pat ie nts Q Sea ch for a patent rned cation hep topic etc

db Prior Author izat ion

Charise McCall 03071954 Female 64 years old MRN IM50TV85

O Sett ings

Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P

~ Live Suppor t

Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY

Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W

Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY

Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4

Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB

lt 3 4 2 gt 5

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 19: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ

Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notifcations

Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Pr ior Author izat io n

O Sett ings Current Prescriptions Patient Notes 0

~ Live Support Office Visit - 4 1217Saprocion 200MG tablets

Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et

Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus

vel Fusee aliquam nisl et nulla fi nibus b ibendum

AgaUac Tiacane 10MG packets

Vaccination - 41217

Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]

Annual Checkup -11517

Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci

vitae eros interdum ultric1es Praesent vestibulum egestas purus

N ullam semper n isi in velit posuere por ttitor

Lorem ipsum dolor sit amet consect etur adip iscing elit

v ew ill Patient Notes

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 20: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

COV E RMYM E D S EH R Dir Smith v

Q Dashboard

Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ

Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm

g Pat ients Notificatiors

Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule

~ Prior Authorization

I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X

bull Live Support Saproeion 200MG tablets

( DcugNam e ]Timode-ral 1001MG tablets

Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls

New Pre5cription

0 Dispense as written

0 AddNew

Filled By V

CANC EL

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 21: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

---------

middotCOVERMYM E DS EH R Dr Smith v

Q Oash t)o ard

Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ

Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm

g Patients otifcations

Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule

~ Prior Author izat io n

O Settings Current Prescriptions New Prescription - Charis McCall X

Saprocion 200MG tablets

Apreretin 200MG tablets

Timodenl 10OMG tablets

Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None

New Prescription

0 Dispense as written

0 AddNew

Columbus Pr escr iption Pharms - 1020 High St Worthington V

CANCE ]

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 22: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

COVERMYMEDS EHR Dr Smith v

Q Dashboard

Charise McCall MRN 12345AZ Coverage Drug Plan XYZ

Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm

g Patients Notifications

UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule

6 Prior Authorizat ion

(gt Settings Current Prescriptions New Prescription - Charis McCall X

bull Live Support Saprocion 2O0MG tablets

Apreretin 200MG tablets (30 o nce daily no refills)

Timoderal 100MG tablets

Prescription Benefit Details AgaltacTiacane 10MG packets

Prior authorizat ion required New Prescription

0 Start PA

Prior Authorization Estimated Cost0 AddNew $23500 - $28500

Plan Recommended Therapeutic Alternatives (c li eck t o switch)

O Eucrisa 100MG table ts

0 Elidel 400MG tab le t s

te r ti

CANCEL CREATE RX

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 23: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

------

ew Prescription - Charis McCa l X ew P escription - Charis McCa l X

Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)

Prescriptiobulln Benefit Details

IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired

II Start PA Estinated Cost

$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500

Patient Deductible

Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets

0 El1del400MGtablets

JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i

CANCEL CREATE RX CANCEL CREATE RX

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33
Page 24: CoverMyMeds ONC ISP TF Presentation - Patient Pricing ... · 7/9/2019  · ristique Ugula curs s vel. Fusee aliquam nisl et nulla finibus bibendum. AgaUac Tiacane 10MG packets . Vaccination

covermymedsreg

Questions

  • Slide Number 1
  • CoverMyMeds helps patients get the medication they need to live healthy lives
  • Healthier Lives
  • Largest Network
  • 2018 A Monumental Year of Service
  • Slide Number 9
  • A Lack Of Price Transparency
  • Prescribers Talk About Medication Cost
  • National Patient Survey Data
  • Slide Number 15
  • Introducing RxBenefit Clarity
  • The Power Of The Pharmacy Network
  • How RxBenefit Clarity Works
  • Methods for Patient Getting Medication
  • CoverMyMeds Vision to Help All Patients
  • RxBC Patient Decision Support in 025 Seconds
  • Case Study for RxBenefit Clarity
  • Slide Number 27
  • Slide Number 28
  • Slide Number 29
  • Slide Number 30
  • Slide Number 31
  • Slide Number 32
  • Slide Number 33