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Partnerships Between Coalitions Rx Initiatives

We are a trusted advocate for employers, creating a new era in healthcare. Our PBM group purchasing initiatives offer clinical programs and services that drive optimal healthcare performance. With a focus on separation of dispensing from PBM and expert oversight, our programs ensure medical necessity, cost-effective therapies, and streamlined management. Our innovative approach, agnostic system, and guaranteed ROI make us the go-to solution for employers. Join us in advancing healthcare for all.

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Partnerships Between Coalitions Rx Initiatives

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  1. Partnerships Between Coalitions Rx Initiatives May 2, 2019

  2. Our Vision & Mission Engaged Employers Advancing Healthcare A collective voice that drives optimal healthcare performance. We are the trusted advocate for employers creating a new era in health care.

  3. PBM Group Purchasing Initiatives Services available to all group purchasing clients

  4. RightRx Clinical Programs Program Features Program Benefits • Separation of dispensing from PBM • Expert, independent oversight • Medical necessity and appropriateness • Utilization of cost effective therapies, when appropriate • Direct interaction and buy-in from prescriber • Streamlined management of multiple interventions to ensure appropriate prescription drug spend • Prescriber communications • Member outreach • Pharmacy interaction • PBM Agnostic • Short implementation timeline (60 days) • Guaranteed ROI/Performance Outcomes • Ongoing clinical reporting • Prescriber and member friendly • Program implementation can be irrespective of plan and/or calendar year (1st of month selected)

  5. Clinical Programs RightRx

  6. Clinical Programs RightRx

  7. Clinical Programs RightRx

  8. Clinical Programs CCS LivingConnected

  9. CCS - LivingConnected Clinical Programs Program Features Program Benefits • PBM-agnostic • Member convenience – home delivery • No meter changes • Reduced purchasing rates – test strips and lancets • Clinical program included in supply acquisition costs • Insight into diabetic population (engaged and not engaged) • Robust library of materials (mail, print, worksite material, educational library) • Digital communications (email, SMS, videos, portal accounts) • Sophisticated call center – 24/7 access to clinical support

  10. PBM Group Purchasing Initiatives PBM Programs

  11. Partnership Pharmacy Programs Program Differentiators Action Steps • Programs not reliant on PBM selection • Not anniversary date driven • No additional “out of pocket” costs • Programs do not shift cost to patient • Mission Driven – support coalition value • Vetted by Employers • Answer program questions • Gather interested employer data • Standard pharmacy benefit data • Data can be used to model both programs • Modeling can identify opportunities that may exist

  12. Thank-You

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