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PHARMACY BENEFITS
the Right Way
Pure Pass-Thru Pricing
Cost Containment
SimpleSaveRxTM
Solutions & Services Overview
Purchase Rx’s at the Pharmacy Best Pricing as Pharmacies compete to win your business
Contribution model and analytics provide ability to control Rx spend
Employers and members become informed consumers by using the Simple$ave app
Information for Better Outcomes
Contain Cost & Control Budget
Pure Pass-Thru Pricing
2SimpleSaveRx All Rights Reserved. Confidential Restricted – Use Pursuant to Company Policy.
SIMPLESAVERX BRINGS VALUEOpen Honest Options
$2.32 $2.65$4.25
$3.30$5.35
$2.56
$7.68 $7.35$5.75
$6.70$4.65
$7.44
$0.00
$2.00
$4.00
$6.00
$8.00
$10.00
$12.00
Pharmacy 1 Pharmacy 2 Pharmacy 3 Pharmacy 4 Pharmacy 5 Pharmacy 6
Savings
Pharm2U
3SimpleSaveRxTM All Rights Reserved. Confidential Restricted – Use Pursuant to Company Policy.
PASS-THRU PRICING & SAVINGS IS HEREPass-Thru Pricing Transforms the PBM’s Profits into Plan Savings
$9.54 Total Price
Pure Pass-thru Pricing eliminates
Spread
SSRx enlists the Pharmacies to provide “Pharm2U” drug prices. Providing True Pass-Thru Price to You.
Ex. Generic – Hydrocodone/Acetaminophen (Vicodin) 10mg/325mg
Everything in Green is NOW Your SAVINGS
4SimpleSaveRxTM All Rights Reserved. Confidential Restricted – Use Pursuant to Company Policy.
HOW DOES CONTRIBUTION WORK?Changing the Equation to Set Your Budget
$5.00 $5.00 $5.00 $5.00 $5.00 $5.00
$1.83$2.95
$6.50
$3.46
$5.35$4.52
$0.00
$2.00
$4.00
$6.00
$8.00
$10.00
$12.00
$14.00
Pharm 1$6.83
Pharm 2$7.95
Pharm 3$11.5
Pharm 3$8.46
Pharm 4$10.35
Pharm 5$9.52
Member$OOP
SponsorContribution
Drug falls into Tier 1 ($0 - $20) Employer Contributes $5.00 for any drugs in Tier Based on Historic Claims data or Industry Avg.
SSRx app creates data models to predict budget
Atorvastatin-Calcium (Lipitor) 20mg 30 count
Employers Determine Amount to Contribute
per Tier
..Simplifying Budgeting
Plan design will establish how the savings are split between the Employer and Employee
5SimpleSaveRx All Rights Reserved. Confidential Restricted – Use Pursuant to Company Policy.
PHARMACY CONTRIBUTION MANAGEMENT MODELSimple Tiered Model for Employer Contributions (no complex Formulary)
Tier Low High Avg. Cost
% of Rx's Written
Suggested Contribution
EmployerContribution
Employee Expense
Monthly Contribution
Tier 1 $0 $20 $4.25 38.50% 50.00% $ 10.00 $ 0.00 $ 4,427.50
Tier 2 $21 $50 $38.24 29.25% 60.00% $ 30.00 $ 8.24 $ 10,091.25
Tier 3 $51 $100 $86.58 18.56% 50.00% $ 50.00 $ 36.58 $ 10,672.00
Tier 4 $101 $300 $207.20 10.65% 50.00% $ 150.00 $ 57.20 $ 18,371.25
Tier 5 $301 … $2,765.00 3.04% 20.00% $1,000.00 $ 1,765.00 $ 34,960.00
Tier 1
Tier 2
Tier 3
Tier 4
Tier 5
• Employers set the amount that they will contribute by % or $ for all drugs in a Tier
• Tiers cover all drugs within their range
• Historical claims analysis is used to help project budget
50%
60%
50%
50%
20%
# of Employees 500
Rx/Mem/Mo 1
Avg. Dependents/ Emp 2.3
Total Members 1150
~Annual Contribution $405,669.41
SimpleSaveRx All rights Reserved. Confidential Restricted – Use Pursuant to Company Policy.
Estimated Rx Program Savings
All data presented here is based on Insurance Industry Standards or come from 2012-13 Economic Report on Pharmacies & Prescription Drug Benefit Cost and Plan Design Report 2012-2013 Edition sponsored by the PBMI.
Discounts
Rebates
Consulting Fee
Benefit Service Fee
Pass Thru-Pricing
Additional Cost Savings
Premier Network
SERVICE BENEFITS & RETURNSPCM Employer and Employee Savings Over Time
6
# Employees 25,000 # of Dependents 2.3# SSRx Members 57,500 % Rx Generic 80%% Rx Brand 20%Avg $ Generic $20Avg $ Brand $205Avg $ Rx $57Avg # Rx/mo/m 1Avg Rx Spend/Mo 3,277,500$ Avg Rx Spend/Yr 39,330,000$ Conservative Savings Est. 35.0%$ Savings w SSRx 13,765,500$
INFORMATION FOR BETTER OUTCOMESSSRx Connects to Employees Giving them Control of Their Outcomes
7SimpleSaveRx All Rights Reserved. Confidential Restricted – Use Pursuant to Company Policy.
Pharmacy Finder SSRx app helps you find the nearest pharmacy and available services using Google Maps
One-Click TransferUsing the SSRx App, simply click on the pharmacy where you want to transfer your Rx to and we will handle the rest
Pharmacy-to-You PricingTrue Transparent Pricing from our partners to our members. No spreads, no hidden costs. Employees shop around for the best price and services using our app
Click-2-SaveMembers receive notifications when lower price options exist for their active Rx
8SimpleSaveRx All Rights Reserved. Confidential Restricted – Use Pursuant to Company Policy.
TRUE BUSINESS INTELLIGENCEReal-Time Reports Give Employers Visibility to $ Spend & Benefits
SimpleSaveRx has a robust reporting system and back-end that can process billions of transactions daily.
Choose from a library of 300+ reports and views to get full visibility and transparency into your spend and benefits programs
SSRx BENEFITS & REWARDSThe First Flat Fee-Based, Fully Transparent PCM
PBMs
Rx Prices
Model Per Prescription Flat Monthly Fee
Transparent PricingNot Disclosed, Hidden Fees
Discounts & Rebates Pass-ThruRetained or Negotiated
Consulting Fees Included in Offering$10 - $125 / member / contract
Pharmacy Promos IncludedNot Included
Transparency SSRx ApplicationNot Disclosed
Rx Spend Managed ContributionUnpredictable
9
Control Your Rx Budget
Information = Better Patient Outcomes
Pass-Thru Pricing
SimpleSaveRx All rights Reserved. Confidential Restricted – Use Pursuant to Company Policy.
David Kwasny, CEO• Former CEO/president of Restat, one of top 15 PBMs in U.S. with over 10MM lives served. 12 years at Restat
in Sales and Business Development• CEO of U.S. HealthCenter, a start-up business in predictive modeling• Registered pharmacist (R.Ph.) With active license, worked at K-Mart Corp.
George Herman, CTO• President/owner, Distributed Systems Solutions Inc., leading edge consultancy for IT innovation• 20 years of technology development experience for clients including American Express, AT&T, Motorola,
McKesson, Gannet, and Albertsons• Expert in healthcare data, pharmacy claims, web/eCommerce, big data
Nick Soldo, COO• COO DSSI drove company to 18 years profitability from onset and instilled operational excellence• 30+ years as an operational and finance manager• Licensed as a CPA in Arizona; Masters from ASU
Matt Winberry, VP of Sales & Marketing• Co-founder and Partner GameSpy Industries, an on-line video game community portal with a multitude of web
properties which was sold to Fox Interactive & IGN networks• Services Director Cisco. IT industry expert with innovation incubation & dotcom startup experience• Experienced in IP licensing, community web presence development, B2B development
Melanie Cantua, VP of Service & Delivery• Mobility industry expert with experience transforming Fortune-500 operations for maximized savings• Director, Motorola Solutions driving mobility solutions to healthcare, government, and retailers globally• 20 years of experience in service development and delivery at Ernst & Young, Avaya and Motorola
Dr. Adam Fein President, Pembroke Consulting, and leading expert in Pharmaceutical supply chainBrooks Pettus President, QualVU, leading online web B2B market researchStephen Buck Founded RxDividends, a B2B pharmacy sold to GoodRx, Vice-President, McKesson
OUR EXECUTIVE TEAMDeep Expertise to Win with SimpleSaveRx
10SimpleSaveRx All rights Reserved. Confidential Restricted – Use Pursuant to Company Policy.
Advi
sors
Doug Hall, Senior Network Solution Architect•20+ years experience in large scale system and network architecture. Lead Agile multi-platform architect and developer for Java, C++, HTML•Director of Operations at Motorola Inc. for Info. Enterprises•CTO for Sandbox Entertainment and founder of Unicon eLearning
Daniel Horn, Senior Solution Architect •20 years experience in systems development and integration for high volume transaction processing systems. Agile development with Java, C++, HTLM, CSS, and more •Specializing in customer service centric solutions for retailer, Call Center, coupon and loyalty marketing
Ron Watkins, Senior Solution Architect•17 years experience in large scale system integration and infrastructure. Storage area networking and infrastructure management leader in healthcare, pharmaceuticals, financial services, and aerospace industries •NASA flight controller responsible for flight operations, communications, telemetry and processing
John Gilmer, Senior Solution Architect •20+ years experience in large scale data base and system architecture. Agile application development for healthcare, pharmaceuticals, banking, and retail•Systems Engineering lead at Motorola new enterprises and STI satellite communications
Tyler Herman – Systems Engineer & Analysis Leader•Lead Systems Engineer & Analysis for Distributed Systems Solutions Inc., leading edge IT consultancy utilizing Agile/Rational Unified Process design methods •Sales and Marketing for large group ticket sales and half-time sponsorship for Globe Trotters
OUR TECHNICAL LEADERSHIPDeep Expertise to Win with SimpleSaveRx
11SimpleSaveRx All rights Reserved. Confidential Restricted – Use Pursuant to Company Policy.
RAPID APPLICATION DEVELOPMENT FOR BIG DATA SYSTEMS
MISSION-CRITICAL PROCESSING SYSTEMS HANDLING BILLIONS OF TRANSACTIONS DAILY
FULLY HIPAA-COMPLIANT AND ISO 9000-CERTIFIED
50+ CUSTOMER SUCCESS STORIES& A PRESTIGIOUS PROJECT RECOGNIZED BY SMITHSONIAN
OUR COMMITMENT TO EXCELLENCELeveraging our DSSI Heritage of 18 Years of Quality Services
12SimpleSaveRx All rights Reserved. Confidential Restricted – Use Pursuant to Company Policy.
I also want to thank our partners at DSSI…They inspired us to think beyond what we knew and
helped guide us each step of the way –Peggy Yelinek, Vice President, McKesson
THANK YOU!
For More Information, Contact:
Bud Brooks
Brooks Healthcare Solutions
w. 972-239-6992
c. 214-649-4378
13SimpleSaveRx All Rights Reserved. Confidential Restricted – Use Pursuant to Company Policy.