Medicare Part D Prescription Drug Costs and Plan Satisfaction as a Function of

1. Medicare Part D Prescription Drug Costs and Plan Satisfaction as a Function of Student Pharmacists’ Assistance • Rajul A. Patel, PharmD, PhD, Kate M. O'Dell, PharmD, Kenneth Wang, Pharm D Candidate, Shu Lu, Pharm D Candidate, Tiffany Chu, Pharm D Candidate, Kim-Anh Vo, Pharm D Candidate, Sian M. Carr-Lopez, PharmD, • Joseph A. Woelfel, PhD, RPh, Suzanne M. Galal, PharmD, BeritGundersen, PharmD • University of the Pacific- Thomas J. Long School of Pharmacy & Health Sciences Stockton, CA

2. Presenter Disclosures The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: No Relationships to disclose

3. Medicare Part D: The Intent • Plans offered through private insurance companies • Beneficiaries would have many plan options • Competition would decrease drug prices • Each company can: • Offer up to three plans per region • Determine the plan formulary and drug restrictions • Decide on the cost-sharing structure • Medicare open enrollment period • 2006-2010: November 15th - December 31st • 2011- Currently: October 15th - December 7th

4. Medicare Part D: The Challenge • Too many choices? • 33 stand-alone prescription drug plans (2012- California) • Confusion? • New plan offerings • Changes in plan formularies • Cost-sharing changes • Opportunity Cost? • Consequences of failing to annually reevaluate plan offerings

5. Objectives Plan satisfaction Out-of-pocket costs Trained student pharmacists

6. 2011-2012 Community Outreach Events Same location New location

7. Methods Demographics Plan Selection Plan Satisfaction and Cost

8. Demographics

9. “How did you choose your current Medicare Drug Plan?” Pacific Pharmacy Students Other Insurance Broker Auto-enrolled Family or Friend Pharmacist/Health Care Provider Medicare n=501; = 1%

10. With Prior Pharmacy Student Assistance n=155 Without Prior Pharmacy Student Assistance n=277 2012 Estimated Annual Plan Cost ($) $3,000 $2,500 $2,000 $1,500 $1,000 $500 $0 Beneficiary Plan Rating Fair Poor Good Good Fair Poor Excellent Very Good Excellent Very Good n=29 (18.7%) n=58 (20.9%) n=45 (29.0%) n=7 (4.5%) n=15 (9.7%) n=59 (38.1%) n=122 (44.0%) n=16 (5.8%) n=34 (12.3%) n=47 (17.0%)

11. With Prior Pharmacy Student Assistance n=155 Without Prior Pharmacy Student Assistance n=277 2012 Estimated Annual Plan Cost ($) $3,000 $2,500 Aggregate average $2,000 $1,500 $1,000 $500 $0 Beneficiary Plan Rating Fair Poor Good Good Fair Poor Excellent Very Good Excellent Very Good n=29 (18.7%) n=58 (20.9%) n=45 (29.0%) n=7 (4.5%) n=15 (9.7%) n=59 (38.1%) n=122 (44.0%) n=16 (5.8%) n=34 (12.3%) n=47 (17.0%)

12. With Prior Pharmacy Student Assistance n=155 Without Prior Pharmacy Student Assistance n=277 2012 Estimated Annual Plan Cost ($) $3,000 $2,500 Aggregate average $2,000 $1,500 $1,000 $500 $0 Beneficiary Plan Rating Fair Poor Good Good Fair Poor Excellent Very Good Excellent Very Good n=29 (18.7%) n=58 (20.9%) n=45 (29.0%) n=7 (4.5%) n=15 (9.7%) n=59 (38.1%) n=122 (44.0%) n=16 (5.8%) n=34 (12.3%) n=47 (17.0%)

13. With Prior Pharmacy Student Assistance n=155 Without Prior Pharmacy Student Assistance n=277 2012 Estimated Annual Plan Cost ($) $3,000 Subsidy recipient $2,500 Non-subsidy recipient Aggregate average $2,000 $1,500 $1,000 $500 $0 Beneficiary Plan Rating Fair Poor Good Good Fair Poor Excellent Very Good Excellent Very Good n=29 (18.7%) n=58 (20.9%) n=45 (29.0%) n=7 (4.5%) n=15 (9.7%) n=59 (38.1%) n=122 (44.0%) n=16 (5.8%) n=34 (12.3%) n=47 (17.0%)

14. Conclusion • Beneficiaries underutilize Medicare as resource for plan selection. • Beneficiaries assisted with Part D plan selection by trained pharmacy students expressed higher levels of plan satisfaction. • Beneficiaries can realize potential out-of-pocket Part D cost savings if provided targeted assistance (trained student pharmacists). • Pharmacy students can serve as beneficiary advocates by helping with Part D plan optimization and provide beneficiaries with peace of mind.