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Program Transition: HPPI to Apexus. June 2007
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1. 340B Prime Vendor Program - An Update 340B Coalition Winter ConferenceFebruary 1, 2008
Christopher A. Hatwig, MS, RPh, FASHP
Senior Director
340B Prime Vendor Program/Apexus
3. Apexus/PVP Organizational Chart
4. PVP Mission/Goals Improve access to affordable medications for covered entities and their patients
Primary goals:
Lower participants’ supply costs by expanding the current PVP portfolio of sub-340B priced products
Provide covered entities with access to efficient drug distribution solutions to meet their patients’ needs
Provide access to other value added products and services meeting covered entities’ unique needs
5. Program Highlights Over 5,700 participants
Over 50 suppliers
2,800 products and services
Participant councils providing program guidance
DSH
CHC’s
Title X Family Planning Clinics
Average sub-ceiling savings of 16% across all participants for outpatient covered drugs
Conservative - excludes savings from vaccines and other value added services
6. Participants Benefits Ease of enrollment and activation of pricing by wholesaler
No cost to participate – federal benefit
Savings on outpatient covered drugs and other value added outpatient products and services
Access to secure website to validate PVP pricing and 340B ceiling pricing with wholesalers
Reports and other resources available to assist with procurement and budgeting decisions
Top 200 Reports - price increases/decrease by quarter
Best price by therapeutic class report
Women’s health care portfolio
Participant communications
Support of 340B education programs focused on compliance and providing networking opportunities for participants
7. PVP Participants by Entity Type (as of 1/9/08– 5734 participants)
8. Authorized Distributors
Regional Distributors
Capital Wholesale Drug Co.
H.D. Smith Drug Co.
Kinray, Inc.
McQueary Bros.
Morris & Dickson, Co., LTD
Mutual Drug Co.
Rochester Drug Cooperative
9. Supplier Agreements Allendale Pharmaceutical
Alliant Pharmaceuticals
AMO (pending)
Astra-Zeneca Pharmaceuticals
Abraxis Pharmaceutical
Akorn Inc.
ASD (flu vaccine)
Bayer Diagnostics
Bedford Labs
Can-am Care LLC
Caraco Pharmaceutical Labs
Dabur Pharmaceuticals
FFF (flu vaccine)
G&W Laboratories
Geritrex Corporation
GlaxoSmithKline
Hawthorne Pharmaceuticals, Inc
Home Diagnostics Inc.
Early Detect
Lilly & Company
Major Pharmaceuticals
Medicure
Morton Grove Pharm Inc.
NitroMed Inc.
Novartis Vaccines
Novo Nordisk
Okomoto USA Inc.
Organon USA, Inc.
Paddock Labs
RD Plastics Co Inc.
Rx Elite Holdings, Inc.
Sandoz Pharmaceutical
Teva Health Systems
Total Pharmacy Supply
Tri State Distribution
Stratus Pharmaceuticals
Trinity Biotech
X-Gen Pharmaceuticals
Watson Pharma Inc.
Wyeth Pharmaceuticals
10. Recent PVP Contract News AstraZeneca – Symbicort®
Bayer Diagnostics – Breeze® 2 Meter (no coding technology)
Novartis – Fluvirin® (direct purchase)
Lilly – Cymbalta®
Wyeth – Protonix® nominal - expanded dosage forms
Organon/SP – Implanon®
GSK – Fluarix® , Coreg CR®, Flovent® Advair® and Ventolin®
Ista Pharmaceuticals – Xibrom®
Dabur Pharmaceuticals – injectable oncology products
Kerr - full product line of prescription vials
New generics from Sandoz, Teva, Watson, & Caraco
11. Ongoing Supplier Discussions for New Products Abbott
AMO - Healon
Astra-Zeneca
Bayer
GSK
Hospira
Lilly
Merck Schering Plough
Novartis
Drug Assistant –Indigent Drug Recovery Software
12. Women’s Health Products
13. Other Products and Services Vaccines (flu, hep A, hep B) – GSK, Novartis, ASD and FFF
PAP software – MedData, M&D Cares
Split bill software – eAudit, D-21/ABC, Talyst,
Auditing/overcharge recovery services – eAudit, ST Health
Repackaging services – Dispensing Solutions Inc.
Labels/printer cartridges - Tristate Distribution
Vials – Kerr, Tristate
Diabetic meters and supplies – Bayer, HDI
PBM services – Global Pharmaceutical Solutions (GPS)
OTC diagnostic test kits – Early Detect
Syringes – Can Am (Kendall)
Pharmacy automation – AutoMed Technologies, ScriptPro
HIV rapid test kits – Trinity Biotech, Iverness Medical
14. Cost Savings Analysis – FQHC, Spokane , WA
15. Systems and Customer Support Enhancements Newsletter – expanded and improved
New reports available on secure website
Top 200 price increases/decreases from quarter to quarter
Therapeutic class report
Women’s health care portfolio
PVP participant database enhancements
Interface with OPA database to capture updates
Addition of key identifiers to improve timely and accurate processing of charge-backs
Transition from annual to quarterly customer satisfaction survey
16. PVP Pharmacy Flash Newsletter
17. 340B Program Integrity Initiatives Improving pricing transparency
Establishment of secure website for posting of ceiling prices
Quarterly comparison of four largest wholesalers’ PHS selling prices
Supporting and fulfilling key role in HRSA’s pilot project with industry
Recruitment of suppliers to participate
Distribution of OPA verified price file to wholesalers
Coordination and support of meetings with industry stakeholders
18. PVP Roles in Supporting HRSA’s Patient Safety Initiative Leadership role in supporting patient safety initiative with other national organizations (APHA, ASHP, ORHP, JCAHO, etc.)
Continue current contracting role to generate savings which can be re-invested by participants to support patient safety initiatives
Contract for specific products and services supporting patient safety in the outpatient pharmacy arena
ISMP Ambulatory Care Newsletter
Assist PVP participants identified as “champions” in attending HRSA meetings to share successes
19. 340B Prime Vendor Program Contact Information Web site: www.340bpvp.com
Toll Free Number: 1-888-340B PVP
Chris Hatwig, Senior Director
(972)910-6646, chatwig@340bpvp.com
20. Mechanisms to Increase Value (Savings) of the PVP Growth in participants
Expand value of portfolio without cannibalizing current value provided by existing suppliers
New suppliers
Expand contracted products of existing suppliers
Steeper discounts on existing products
Improve utilization of PVP contracts by existing participants