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MTAC – Association Presentation

MTAC – Association Presentation. August 1, 2007. About PCMA.

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MTAC – Association Presentation

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  1. MTAC – Association Presentation August 1, 2007

  2. About PCMA • The Pharmaceutical Care Management Association (PCMA) is the national association representing Pharmacy Benefit Managers (PBMs). PCMA is dedicated to enhancing the proven tools and techniques that PBMs have pioneered in the marketplace and working to lower the cost of prescription drugs for more than 210 million Americans with coverage provided through Fortune 500 employers, health insurers, labor unions, and Medicare Part D. • As a trade association, PCMA offers member companies a full range of lobbying, advocacy, and business networking services.

  3. PCMA Members

  4. What PBMs Do PCMA continues to lead the effort in further promoting PBMs and the proven tools they utilize which are recognized by consumers, employers, policymakers, and others as a key driver in lowering prescription drug costs while also increasing access. The tools and techniques pioneered by PBMs are projected to save Medicare and the commercial market more than $1.3 trillion dollars on prescription drug costs from 2008 to 2017. These tools include: • Generic substitution; • Mail-service pharmacy; • Pharmacy and therapeutic (P&T) committee formulary development and review; • Pharmacy network management; • Negotiation and administration of product discounts, including manufacturer rebates; • Drug utilization review (DUR); • Clinical prior authorization and step therapy; • Consumer and physician education; • Disease management; and • Consumer compliance programs.

  5. PCMA Affiliates PBMs work closely with pharmaceutical manufacturers on a wide array of issues, including issues surrounding cost reduction, safety, and delivery.

  6. MTAC Members • Arnie Epstein - Express Scripts • Tom Underkoffler – Medco

  7. MTAC Benefits – USPS Usage • Membership utilizes many USPS products • Parcels • Express Mail • Priority Mail • First Class • Standard • Parcel Select • Letters • First Class • Standard • Flats • First Class • Standard

  8. PBM Statistics - 2006 • Mail Order exceeded 194M Rx’s • Retail exceeded 1.3B Rx’s

  9. PBM Statistics • Placed end to end, 2006 packages would wrap around the earth at the equator – with overlap

  10. Which Number is Higher? 2006 Packages Delivered per Second Hummingbird Heartbeat at Rest A or B

  11. 4.2 Beats / Sec 11.9 Packages / Sec 2006 Packages Delivered per Second Hummingbird Heartbeat at Rest B A * During Delivery Hours

  12. PBM Information • Industry has seen steady growth • Drives increased mail volume • MTAC • Source of pertinent information • Arena to learn and share • Opportunity to participate in workgroups • Expect to have increased MTAC exposure

  13. www.pcmanet.org

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