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Study guide for pharmacy
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DCF-13-2666B
OneTouch Makes Testing Accessible for All Patients.
LifeScan Confidential Do Not Distribute
DCF-13-2666B
Sharon Ditata MT(ASCP) Customer Development Representative
AW 3102280A
Diabetes affects
1 in 12 People today
Source: CDC, National Diabetes Fact Sheet, 2011
AW 3102280A
Diabetes will affect
1 in 3 people by the year 2050
Source: Boyle PP et al. CDC Population Health Metrics 2010, 8:29
AW 3102280A
Source: TRx Share, Retail Sept YTD 2012. Data Source - IMS Xponent TRx Share. *Some health plans may have more than one test strip covered at the lowest co-pay.
Test Strip Share by Manufacturer*
New Product Innovations
Lowest Co-pay on the Most Health
Plans*
Sales Force Strength
Leading Share of Voice in
Advertising
OneTouch Ultra Family of Products
#1 Recommended Brand by
Endocrinologists
Partner with the category leader.
Total Rx POS (%)
LifeScan Abbot Roche Bayer PrivateLabel
OtherMfg
40.5%
19.2% 18.9% 14.4%
5.7% 1.3%
Abbott
AW 3102280A
Source: TRx Share, Retail Sept YTD 2012. Data Source - IMS Xponent TRx Share. *Some health plans may have more than one test strip covered at the lowest co-pay.
Test Strip Share by Manufacturer*
New Product Innovations
Lowest Co-pay on the Most Health
Plans*
Sales Force Strength
Leading Share of Voice in
Advertising
OneTouch Ultra Family of Products
#1 Recommended Brand by
Endocrinologists
Partner with the category leader.
Total Rx POS (%)
LifeScan Abbot Roche Bayer PrivateLabel
OtherMfg
40.5%
19.2% 18.9% 14.4%
5.7% 1.3%
Abbott
DCF-13-2666B
DCF-13-2666B
Diabetes Category Opportunity
More shoppers
Repeat traffic
Higher basket ring (front & back
of store).
Long-term opportunity drive shopper loyalty among high value shoppers.
Annual retail spend : diabetes patient - up to $6,875*
*The Full value of a Diabetes Patient. Smart Retailing Rx 2013
Rate of diabetes diagnosis is increasing
Chronic disease
Co-morbid nature of disease drives additional needs
8
AW3070996B
Coverage Confusion
9
Commercial Coverage Medicare
Cost is a leading reason why patients
stop testing
Confused about their co-pays
Move to mail order due to perceived
benefits
Confused about their options
Partner with OneTouch to keep your patients at retail
DCF-13-2666B
37% Retail
35% Mail Order
28% Non-Retail
SMBG Category Overview Payer Mix
Cash
Retail 11% Cash 27% Government 62% Commercial
Mail Order 59% Government 41% Commercial
Data Source IMS DDD, 12 months ending June 12, Category size, mix, and share based on total test strip volume.
LifeScan Confidential Do Not Distribute 10
DCF-13-2666B LifeScan Confidential Do Not Distribute 11
OneTouch Commercial Coverage.
DCF-13-2666B
Commercial Coverage Challenges Confusion with misconceptions and clutter
LifeScan Confidential Do Not Distribute
Co-pay card usage:
DCF-13-2666B LifeScan Confidential Do Not Distribute 13
2012 Typical Average Co-Pays in 3-Tier Benefit Design
Patients could be saving up to:
$42/month
Data Source: Health Strategies Group: Health Plan Pharmacy Management Trends March 2013 data from 2012
OneTouch Commercial Rx Access Unmatched patient savings
DCF-13-2666B
Scenario
Patient chooses a Tier 3 product (such as Abbott, Freestyle, Bayer Contour, or Store Brand) that is currently listed in Tier 3 and fills at retail twice. On the third fill, the following will occur:
1. Tier 3 product is no longer covered at retail patient pays full price 2. Patient is asked to switch to a preferred product from Tier 1 (currently either
OneTouch or Accu-Chek) 30-day fill at retail: average co-pay $10 90-day fill at PBM Mail: average co-pay $25
3. Patient stays with non preferred product but must switch to pharmacy mail (Medco), pay corresponding Tier 3
30-day fill at retail: average co-pay $50
NOTE: Not all members with a pharmacy benefit participate in this program.
*This is a case study of the United Healthcare Select Designated Pharmacy Program. This program is excluded in the following states: NY, NJ, CT, LA, AR, and MD.
Case Study: UnitedHealthcare Programs Partnering with retail to meet formulary & cost objectives
14
DCF-13-2666B
OneTouch Verio and Ultra Test Strips are the only test strips covered on the
Express Scripts National Preferred Formulary
Patients on all other brands will have to switch as of
January 1, 2014 or pay list price.
OneTouch Verio and Ultra Test Strips are preferred1 on the CVS Caremark
National Formulary
As of January 1, 2014, Abbott FreeStyle and Bayer CONTOUR Test Strips are no longer reimbursed by
many CVS Caremark plans.2
1 Preferred: For most plans, products that are usually covered at the lowest co-payment or co-insurance. 2 Plans that opt-in to the CVS Caremark 2014 Formulary Exclusion List. The information provided is not a guarantee of coverage or payment. Actual benefits are determined by each plan in accordance with its respective policies and procedures. All trademarks are the property of their respective owners.
OneTouch: Sole Source Carefirst BCBS as of 7/1/13 Express Scripts as of 1/1/14 RegenceRx as of 1/1/14 Illinois Medicaid as of 7/13/13 .and many other OneTouch Regional Contract wins
Opportunity to convert
non-formulary patients to OneTouch.
OneTouch Commercial Access Expanding OneTouch Commercial Coverage in 2014
15
DCF-13-2666B
Drive Loyalty Among BGM Patients by delighting Patients at the Pharmacy
Patient presents script to
Pharmacist/Tech
Prescription is adjudicated and
processed
Patient receives test strip
Patient presents script to Pharmacist/Tech
Insurance coverage is checked to determine
lowest copay
Prescription is adjudicated and
processed
Patient receives test strip
Quick extra step could save patients up to $42 per box
Current Process
Future Process
16
DCF-13-2666B
OneTouch Commercial Access Meter Offerings Available
Universal Meter Voucher Give patients the right meter with a single ID no-charge meter voucher.
Patient Starter Kits with Meter Card at HCP Offices Meter adjudicated at Pharmacy with branded prescription.
17
DCF-13-2666B LifeScan Confidential Do Not Distribute 18
OneTouch Medicare Coverage.
DCF-13-2666B
Coverage Confusion
19
Commercial Coverage Medicare
Cost is a leading reason why patients
stop testing
Confused about their co-pays
Move to mail order due to perceived
benefits
Confused about their options
Partner with OneTouch to keep your patients at retail
DCF-13-2666B
Medicare Coverage Clarity
LifeScan Confidential Do Not Distribute
Supplemental (MediGap)
With Medicare Part B and most supplemental insurance plans,
patients will have
$0 out-of-pocket expense for OneTouch
Products1
Medicare DME: Durable Medical Equipment
80%
20%
1 Not a guarantee of coverage and payment. Coverage and payment may be subject to co-insurance, deductible and patient eligibility requirements 20
DCF-13-2666B
Medicare Challenges Coverage changes causing confusion and shift to mail order
LifeScan Confidential Do Not Distribute
Perceived benefits of mail order: More cost effective More convenient Automatic refills and reminders
Do I have to go to mail order?
Data Source: Roper Patient Data 2010
Medicare reimbursement changes have caused confusion among pharmacists and patients
What is covered?
Where can I get my favorite brand?
Coverage Confusion Shift to Mail Order
21
*Not a guarantee of coverage and payment. Coverage and payment may be subject to co-insurance, deductible and patient eligibility requirements.
DCF-13-2666B
Multiple OneTouch Meters
are available for your Medicare patients at no charge*. Also get access to offers on ancillary products.
OneTouch also offers rebates on OneTouch Brand Test Strips1
OneTouch Medicare Access Medicare and Medicaid Assignment Program (MAP): How does it work?
LifeScan Confidential Do Not Distribute 22
No special Medicare SKUs means less hassle
Completely automatic program for faster payment
1Applicable if customer is signed up for existing MAP program. *Some limitations may apply
Slide Number 1Slide Number 2Slide Number 3Slide Number 4Partner with the category leader.Partner with the category leader.Slide Number 7Diabetes Category Opportunity Coverage ConfusionSlide Number 10Slide Number 11Commercial Coverage Challenges Confusion with misconceptions and clutterSlide Number 13Slide Number 14Slide Number 15Drive Loyalty Among BGM Patientsby delighting Patients at the PharmacyOneTouch Commercial AccessMeter Offerings AvailableSlide Number 18Coverage ConfusionMedicare Coverage ClarityMedicare Challenges Coverage changes causing confusion and shift to mail order OneTouch Medicare AccessMedicare and Medicaid Assignment Program (MAP): How does it work?