NACo Prescription Discount Card

2. NACo Prescription Discount Card • CVS Caremark Experience • Who can use a prescription discount card • Large participating pharmacy network • Specialty Pharmacy • Program Participant Materials • Program Participant Website • Real Value • Program Participant Benefits • County Benefits • How Counties get Started

3. CVS Caremark Experience • CVS Caremark has administered prescription discount card programs since 1992 • Processed more than 19 million discount card program claims in 2010across book of business • Currently more than 18 million discount card program participants • CVS Caremark is Ranked 18th on Fortune 500 for 2010 • CVS Caremark is the number one provider of prescriptions in the nation – more than one billion prescriptions filled or managed annually • CVS Caremark administers more than 200 prescription discount card programs

4. Who Can Use a Prescription Discount Card • Uninsured • When a prescription is not covered: • Underinsured • Medicare Plan D participants non-covered drugs • Pet prescriptions • Incarcerated individuals The NACo Prescription Discount Card can be used anytime a prescription is not covered by insurance – even for pets!

5. Participating Pharmacy Network • “Pharmacy-friendly” network contracting philosophy • More than 60,000 participating pharmacies nationwide • All major chain pharmacies participate, including: CVS/pharmacy, Rite-Aid, Walgreens, and larger grocery store chains • Solid reputation with participating pharmacies since 1969 • Optional agreement to accept the prescription discount card • Acceptance of online claims processing system

6. Specialty Pharmacy • Program participants receive: • Medications to treat many chronic disease states including: • Hemophilia, multiple sclerosis, Crohn’s disease and rheumatiod arthritis • Coordination of care and education • Discounts on high-cost specialty medications • Access through toll-free phone number to clinical support staff • Delivery of injectable and select oral medication and supplies to the participants chosen location

7. Service • Service for the County • Dedicated implementation team • Communication materials • Monthly reports • Review and approval of marketing materials • Service for Residents • Toll-free phone number to CVS Caremark Customer Care • Pharmacy help desk • Flexible enrollment process – no paperwork

8. Program Participant Materials • CVS Caremark will provide standard participant materials at no charge to the county • ID card/brochures • Posters • Display stands • Bill Inserts

9. Program Participant Website • Website Support • Print an ID card • Locate a pharmacy • Check drug cost • Program tools

10. Real Value • Full complement of capabilities • Retail discounts • Specialty discounts • Manufacturer discounts on select products shared with program participants

11. Real Value (cont.) • “Lower of” pricing model • Designed to provide the best pricing available to cash paying program participant by utilizing a “lower-of” comparative pricing model (pharmacy retail cost versus discounted pricing) • On select medications, additional point-of-sale (POS) discounts may apply. • These additional POS discounts are shared with program participants • CVS Caremark works with pharmacies and manufacturers to provide cost-effective medications for cash paying program participants

12. Real Value -- NACo Program 2010 • Average savings of 26.5% • Average savings of $13.13 per prescription • Generic medication average savings • 34.6% off retail • $11.57 per prescription • Brand medication average savings • 16.1% off retail • $20.91 per prescription • Actual savings varies by medication and pharmacy Based on all claims adjudicated by CVS Caremark for NACo 01/01/2010 through 12/31/2010.

13. Program Participant Benefits • Ease • CVS Caremark’s name is universally recognized by retail pharmacies • Choice • Accepted at more than 60,000 chain and independent pharmacies nationwide • Recognized program • Operational since 1992, currently servicing millions of program participants • Savings • An average of 24% off regular retail pharmacy price • No paperwork • Discount provided at point of service • Automatic enrollment

14. County Benefits • No cost to the county • Program provided at no cost • Standard marketing materials provided at no cost • Easy to administer • No enrollment paperwork • CVS Caremark supports the program • Customer Care managed by CVS Caremark • Proven results • Average savings of 24% off the regular retail price • More than one third of the nation’s counties participate

15. How Counties Get Started • Visit www.NACo.org – click on the “Member Center“ button • Under “Getting the Most Out of Membership,” click on “Help Your Residents” and then “NACo Prescription Discount Card Program” at the bottom of the page, then click on “Counties” • Review the documents related to the NACo Prescription Discount Card • You will be able to access: • Sample press releases, card images, summary points, TV news coverage, interviews and articles on the program • NOTE: Logging in requires your email address and the name of your county as your password (ex: Gold County). Please call or email NACo if you need assistance with logging in to the website.