1 / 8

Mail Order Pharmacy

Mail Order Pharmacy. What You Don’t Know Will Hurt You!. Mail Order Pharmacy. Builds a case for savings through:. Perceived Discounts Not Actual Dollars. Example:. Brand Name Prescription Retail Pricing AWP – 14% Mail Pricing AWP – 22% Brand Prescription AWP - $100.00

omar
Download Presentation

Mail Order Pharmacy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Mail Order Pharmacy What You Don’t Know Will Hurt You!

  2. Mail Order Pharmacy Builds a case for savings through: • Perceived Discounts • Not Actual Dollars

  3. Example: Brand Name Prescription • Retail Pricing AWP – 14% • Mail Pricing AWP – 22% Brand Prescription AWP - $100.00 • Retail AWP – 14% 100.00 – 14.00 = $86.00 • Mail Order AWP – 22% 100.00 – 22.00 = $78.00 $8.00 Savings

  4. Mail Order Alters or Uses Higher AWP Products • Retail AWP – 14% • 100.00 – 14.00 = $86.00 • Mail Order AWP – 22% • 150.00 – 33.00 = $117.00 - $31.00

  5. Example Generic Prescription: Retail Pricing: MAC Pricing set at $0.20 x 60 = $12.00 Mail Pricing: AWP – 50% AWP = $1.00 x 60 = $60.00 60.00 - 50% = $30.00 - $ 18.00

  6. Co-Pay Issue Pfizer Study • Retail co-pay $30.00 X 3 $90.00 • MAC co-pay $30.00 / per one 3 month supply Payer picks up $60.00 of cost. *If prescription is not $60.00 cheaper, then government costs go up.

  7. Lipitor - Redbook

  8. Repackaging Example:Lipitor 20mg #30 • At Retail • Pharmacy Paid • AWP-14% + $2.00 • AWP* = $4.16/tablet • 30 x $4.16 = $124.80 • $124.80 - $17.47 + $2.00 = $109.33 • At Mail Order • Pharmacy Paid • AWP-22% + $0.00 • AWP* = $6.81/tablet • 30 x $6.81 = $ 204.30 • $204.30 - $44.95 + $0.00 = $159.35 $50.02 more at Mail Order vs. Retail *2007 Red Book Pricing

More Related