covermymeds onc isp tf presentation - patient pricing ... · 7/9/2019 · ristique ugula curs s...
TRANSCRIPT
covermymedsreg
ONC ISPTF Real-Time Patient Pricing Transparency Kim Boyd and Ryan Tarzy July 9 2019
O U R M I S S I O N
CoverMyMeds helps patients get the medication they need to
live healthy lives
I 100M
SOM
60M
40M
20M
0 2009 2011 2012 2013 2014 2015 2016 2017 2018
Healthier Lives 142036249
A L L T I M E
copy 2019 Cov
I
Largest Network
500+ Integrated EHRs
700000+ Providers 94
of Prescription Volume
Payers Representing
96 of Pharmacy locations nationwide
200+ Life Science Brands
75+ Life Science Manufacturers
copy 2019 CoverMyMeds LLC
I
2018 A Monumental Year of Service In 2018 CoverMyMeds processed a record number of PA requests mdash 417 million total mdash saving time for providers and patients
104 million hours 1186 million days $3434 million saved by providers in preventing saved in time to therapy for saved by providers offices
phone calls and faxes patients by completing PA requests by keeping staff off phones at the point of prescribing and fax machines1
1 Based on median registered nurse salary of $68450 per year copy 2019 CoverMyMeds LLC
covermymedsreg
Real-Time Benefit Check (RTBC)
2018 Real-Time Benefit Check National Adoption Scorecard
0 10
A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available
Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101
1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved
I
60
55
50
45
4 0
35
30
25
20
15
10
5
0 I I I Very Rarely
-
-
- - - -
- - -
- - - -
I Rarely Occasio nally Very Frequently Always
Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe
70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe
copy 2019 CoverMyMeds LLC
I
National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further
SURVEY QUESTION SURVEY QUESTION
Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive
75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much
copy 2019 CoverMyMeds LLC
Empowering providers and patients to make decisions about their medication therapy before
finalizing the prescription
I
Sample Responses
$20 Patient Pay Amount
Product Not Covered
PA Requi red Submit Prospective PA
X y z
Introducing RxBenefit Clarity
Delivering True Price Transparency at the Point-of-Prescribing
bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required
bull Provides real-time focused insights via the physician workflow
bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking
bull Helps improve physician and patient satisfaction
copy 2019 CoverMyMeds LLC
I
The Power Of The Pharmacy Network
Patient Benefit Lookup Patient Assistance
Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy
35 of the time or cash programs
copy 2019 CoverMyMeds LLC
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
O U R M I S S I O N
CoverMyMeds helps patients get the medication they need to
live healthy lives
I 100M
SOM
60M
40M
20M
0 2009 2011 2012 2013 2014 2015 2016 2017 2018
Healthier Lives 142036249
A L L T I M E
copy 2019 Cov
I
Largest Network
500+ Integrated EHRs
700000+ Providers 94
of Prescription Volume
Payers Representing
96 of Pharmacy locations nationwide
200+ Life Science Brands
75+ Life Science Manufacturers
copy 2019 CoverMyMeds LLC
I
2018 A Monumental Year of Service In 2018 CoverMyMeds processed a record number of PA requests mdash 417 million total mdash saving time for providers and patients
104 million hours 1186 million days $3434 million saved by providers in preventing saved in time to therapy for saved by providers offices
phone calls and faxes patients by completing PA requests by keeping staff off phones at the point of prescribing and fax machines1
1 Based on median registered nurse salary of $68450 per year copy 2019 CoverMyMeds LLC
covermymedsreg
Real-Time Benefit Check (RTBC)
2018 Real-Time Benefit Check National Adoption Scorecard
0 10
A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available
Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101
1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved
I
60
55
50
45
4 0
35
30
25
20
15
10
5
0 I I I Very Rarely
-
-
- - - -
- - -
- - - -
I Rarely Occasio nally Very Frequently Always
Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe
70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe
copy 2019 CoverMyMeds LLC
I
National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further
SURVEY QUESTION SURVEY QUESTION
Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive
75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much
copy 2019 CoverMyMeds LLC
Empowering providers and patients to make decisions about their medication therapy before
finalizing the prescription
I
Sample Responses
$20 Patient Pay Amount
Product Not Covered
PA Requi red Submit Prospective PA
X y z
Introducing RxBenefit Clarity
Delivering True Price Transparency at the Point-of-Prescribing
bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required
bull Provides real-time focused insights via the physician workflow
bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking
bull Helps improve physician and patient satisfaction
copy 2019 CoverMyMeds LLC
I
The Power Of The Pharmacy Network
Patient Benefit Lookup Patient Assistance
Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy
35 of the time or cash programs
copy 2019 CoverMyMeds LLC
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
I 100M
SOM
60M
40M
20M
0 2009 2011 2012 2013 2014 2015 2016 2017 2018
Healthier Lives 142036249
A L L T I M E
copy 2019 Cov
I
Largest Network
500+ Integrated EHRs
700000+ Providers 94
of Prescription Volume
Payers Representing
96 of Pharmacy locations nationwide
200+ Life Science Brands
75+ Life Science Manufacturers
copy 2019 CoverMyMeds LLC
I
2018 A Monumental Year of Service In 2018 CoverMyMeds processed a record number of PA requests mdash 417 million total mdash saving time for providers and patients
104 million hours 1186 million days $3434 million saved by providers in preventing saved in time to therapy for saved by providers offices
phone calls and faxes patients by completing PA requests by keeping staff off phones at the point of prescribing and fax machines1
1 Based on median registered nurse salary of $68450 per year copy 2019 CoverMyMeds LLC
covermymedsreg
Real-Time Benefit Check (RTBC)
2018 Real-Time Benefit Check National Adoption Scorecard
0 10
A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available
Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101
1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved
I
60
55
50
45
4 0
35
30
25
20
15
10
5
0 I I I Very Rarely
-
-
- - - -
- - -
- - - -
I Rarely Occasio nally Very Frequently Always
Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe
70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe
copy 2019 CoverMyMeds LLC
I
National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further
SURVEY QUESTION SURVEY QUESTION
Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive
75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much
copy 2019 CoverMyMeds LLC
Empowering providers and patients to make decisions about their medication therapy before
finalizing the prescription
I
Sample Responses
$20 Patient Pay Amount
Product Not Covered
PA Requi red Submit Prospective PA
X y z
Introducing RxBenefit Clarity
Delivering True Price Transparency at the Point-of-Prescribing
bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required
bull Provides real-time focused insights via the physician workflow
bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking
bull Helps improve physician and patient satisfaction
copy 2019 CoverMyMeds LLC
I
The Power Of The Pharmacy Network
Patient Benefit Lookup Patient Assistance
Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy
35 of the time or cash programs
copy 2019 CoverMyMeds LLC
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
I
Largest Network
500+ Integrated EHRs
700000+ Providers 94
of Prescription Volume
Payers Representing
96 of Pharmacy locations nationwide
200+ Life Science Brands
75+ Life Science Manufacturers
copy 2019 CoverMyMeds LLC
I
2018 A Monumental Year of Service In 2018 CoverMyMeds processed a record number of PA requests mdash 417 million total mdash saving time for providers and patients
104 million hours 1186 million days $3434 million saved by providers in preventing saved in time to therapy for saved by providers offices
phone calls and faxes patients by completing PA requests by keeping staff off phones at the point of prescribing and fax machines1
1 Based on median registered nurse salary of $68450 per year copy 2019 CoverMyMeds LLC
covermymedsreg
Real-Time Benefit Check (RTBC)
2018 Real-Time Benefit Check National Adoption Scorecard
0 10
A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available
Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101
1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved
I
60
55
50
45
4 0
35
30
25
20
15
10
5
0 I I I Very Rarely
-
-
- - - -
- - -
- - - -
I Rarely Occasio nally Very Frequently Always
Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe
70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe
copy 2019 CoverMyMeds LLC
I
National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further
SURVEY QUESTION SURVEY QUESTION
Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive
75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much
copy 2019 CoverMyMeds LLC
Empowering providers and patients to make decisions about their medication therapy before
finalizing the prescription
I
Sample Responses
$20 Patient Pay Amount
Product Not Covered
PA Requi red Submit Prospective PA
X y z
Introducing RxBenefit Clarity
Delivering True Price Transparency at the Point-of-Prescribing
bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required
bull Provides real-time focused insights via the physician workflow
bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking
bull Helps improve physician and patient satisfaction
copy 2019 CoverMyMeds LLC
I
The Power Of The Pharmacy Network
Patient Benefit Lookup Patient Assistance
Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy
35 of the time or cash programs
copy 2019 CoverMyMeds LLC
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
I
2018 A Monumental Year of Service In 2018 CoverMyMeds processed a record number of PA requests mdash 417 million total mdash saving time for providers and patients
104 million hours 1186 million days $3434 million saved by providers in preventing saved in time to therapy for saved by providers offices
phone calls and faxes patients by completing PA requests by keeping staff off phones at the point of prescribing and fax machines1
1 Based on median registered nurse salary of $68450 per year copy 2019 CoverMyMeds LLC
covermymedsreg
Real-Time Benefit Check (RTBC)
2018 Real-Time Benefit Check National Adoption Scorecard
0 10
A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available
Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101
1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved
I
60
55
50
45
4 0
35
30
25
20
15
10
5
0 I I I Very Rarely
-
-
- - - -
- - -
- - - -
I Rarely Occasio nally Very Frequently Always
Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe
70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe
copy 2019 CoverMyMeds LLC
I
National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further
SURVEY QUESTION SURVEY QUESTION
Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive
75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much
copy 2019 CoverMyMeds LLC
Empowering providers and patients to make decisions about their medication therapy before
finalizing the prescription
I
Sample Responses
$20 Patient Pay Amount
Product Not Covered
PA Requi red Submit Prospective PA
X y z
Introducing RxBenefit Clarity
Delivering True Price Transparency at the Point-of-Prescribing
bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required
bull Provides real-time focused insights via the physician workflow
bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking
bull Helps improve physician and patient satisfaction
copy 2019 CoverMyMeds LLC
I
The Power Of The Pharmacy Network
Patient Benefit Lookup Patient Assistance
Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy
35 of the time or cash programs
copy 2019 CoverMyMeds LLC
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
covermymedsreg
Real-Time Benefit Check (RTBC)
2018 Real-Time Benefit Check National Adoption Scorecard
0 10
A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available
Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101
1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved
I
60
55
50
45
4 0
35
30
25
20
15
10
5
0 I I I Very Rarely
-
-
- - - -
- - -
- - - -
I Rarely Occasio nally Very Frequently Always
Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe
70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe
copy 2019 CoverMyMeds LLC
I
National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further
SURVEY QUESTION SURVEY QUESTION
Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive
75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much
copy 2019 CoverMyMeds LLC
Empowering providers and patients to make decisions about their medication therapy before
finalizing the prescription
I
Sample Responses
$20 Patient Pay Amount
Product Not Covered
PA Requi red Submit Prospective PA
X y z
Introducing RxBenefit Clarity
Delivering True Price Transparency at the Point-of-Prescribing
bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required
bull Provides real-time focused insights via the physician workflow
bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking
bull Helps improve physician and patient satisfaction
copy 2019 CoverMyMeds LLC
I
The Power Of The Pharmacy Network
Patient Benefit Lookup Patient Assistance
Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy
35 of the time or cash programs
copy 2019 CoverMyMeds LLC
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
0 10
A Lack Of Price Transparency At the point of prescribing formulary and benefit (FampB) coverage information patient assistance pharmacy cost and cash price options mdash among other cost-contributing factors mdash are rarely available
Providers who currently have access to formulary and benefit information in their EHR have an average trust rating of only 57101
1 CoverMyMeds Provider Survey 2018 copy 2019 CoverMyMeds LLC All Rights Reserved
I
60
55
50
45
4 0
35
30
25
20
15
10
5
0 I I I Very Rarely
-
-
- - - -
- - -
- - - -
I Rarely Occasio nally Very Frequently Always
Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe
70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe
copy 2019 CoverMyMeds LLC
I
National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further
SURVEY QUESTION SURVEY QUESTION
Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive
75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much
copy 2019 CoverMyMeds LLC
Empowering providers and patients to make decisions about their medication therapy before
finalizing the prescription
I
Sample Responses
$20 Patient Pay Amount
Product Not Covered
PA Requi red Submit Prospective PA
X y z
Introducing RxBenefit Clarity
Delivering True Price Transparency at the Point-of-Prescribing
bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required
bull Provides real-time focused insights via the physician workflow
bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking
bull Helps improve physician and patient satisfaction
copy 2019 CoverMyMeds LLC
I
The Power Of The Pharmacy Network
Patient Benefit Lookup Patient Assistance
Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy
35 of the time or cash programs
copy 2019 CoverMyMeds LLC
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
I
60
55
50
45
4 0
35
30
25
20
15
10
5
0 I I I Very Rarely
-
-
- - - -
- - -
- - - -
I Rarely Occasio nally Very Frequently Always
Prescribers Talk About Medication Cost SURVEY QUESTION How often do you have a conversation with your patient about if they can afford the medication you plan to prescribe
70 of prescribers indicated they frequently or always converse with their patient about whether they can afford the medication they plan to prescribe
copy 2019 CoverMyMeds LLC
I
National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further
SURVEY QUESTION SURVEY QUESTION
Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive
75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much
copy 2019 CoverMyMeds LLC
Empowering providers and patients to make decisions about their medication therapy before
finalizing the prescription
I
Sample Responses
$20 Patient Pay Amount
Product Not Covered
PA Requi red Submit Prospective PA
X y z
Introducing RxBenefit Clarity
Delivering True Price Transparency at the Point-of-Prescribing
bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required
bull Provides real-time focused insights via the physician workflow
bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking
bull Helps improve physician and patient satisfaction
copy 2019 CoverMyMeds LLC
I
The Power Of The Pharmacy Network
Patient Benefit Lookup Patient Assistance
Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy
35 of the time or cash programs
copy 2019 CoverMyMeds LLC
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
I
National Patient Survey Data CoverMyMeds conducted a national survey to both patients and providers to see how we can help avoid prescription barriers even further
SURVEY QUESTION SURVEY QUESTION
Have you ever received a prescription that cost Have you ever not filled a medication because it more than you expected was too expensive
75 of patients report that theyrsquove received a 52 of patients surveyed said that they did not prescription that cost more than they expected fill a prescription because it cost too much
copy 2019 CoverMyMeds LLC
Empowering providers and patients to make decisions about their medication therapy before
finalizing the prescription
I
Sample Responses
$20 Patient Pay Amount
Product Not Covered
PA Requi red Submit Prospective PA
X y z
Introducing RxBenefit Clarity
Delivering True Price Transparency at the Point-of-Prescribing
bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required
bull Provides real-time focused insights via the physician workflow
bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking
bull Helps improve physician and patient satisfaction
copy 2019 CoverMyMeds LLC
I
The Power Of The Pharmacy Network
Patient Benefit Lookup Patient Assistance
Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy
35 of the time or cash programs
copy 2019 CoverMyMeds LLC
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
Empowering providers and patients to make decisions about their medication therapy before
finalizing the prescription
I
Sample Responses
$20 Patient Pay Amount
Product Not Covered
PA Requi red Submit Prospective PA
X y z
Introducing RxBenefit Clarity
Delivering True Price Transparency at the Point-of-Prescribing
bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required
bull Provides real-time focused insights via the physician workflow
bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking
bull Helps improve physician and patient satisfaction
copy 2019 CoverMyMeds LLC
I
The Power Of The Pharmacy Network
Patient Benefit Lookup Patient Assistance
Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy
35 of the time or cash programs
copy 2019 CoverMyMeds LLC
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
I
Sample Responses
$20 Patient Pay Amount
Product Not Covered
PA Requi red Submit Prospective PA
X y z
Introducing RxBenefit Clarity
Delivering True Price Transparency at the Point-of-Prescribing
bull Determines accurate patient pay amount at the patientrsquos preferred pharmacy and whether PA is required
bull Provides real-time focused insights via the physician workflow
bull Eliminates various prescribing barriers that may lead to callbacks from the pharmacy and restocking
bull Helps improve physician and patient satisfaction
copy 2019 CoverMyMeds LLC
I
The Power Of The Pharmacy Network
Patient Benefit Lookup Patient Assistance
Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy
35 of the time or cash programs
copy 2019 CoverMyMeds LLC
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
I
The Power Of The Pharmacy Network
Patient Benefit Lookup Patient Assistance
Critical patient benefit 23 of prescriptions are information is only present cheaper due to pharmacy
35 of the time or cash programs
copy 2019 CoverMyMeds LLC
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
I
covermymedsreg ~ RelayHealth
(JJ
How RxBenefit Clarity Works
EHR
bull Initiates Request transaction
bull Includes bull Pharmacy Benefit
Information bull Drug bull Patient Pharmacy
bull Displays Response from CoverMyMeds
bull Receives EHR request
bull Sends request to PBM API or RelayHealth if no direct payer connection exists
bull Captures response from PBM or RelayHealth
bull Sends response to EHR
bull Formats request data for obtaining benefit response from payer or historical claims
Benefit Processor
bull Processes request and sends response
bull Generic programs bull Pharmacy Substitution bull Patient Assistance bull Alternatives
PBM API
bull Processes request and sends response
bull Mail Order bull Alternatives
copy 2019 CoverMyMeds LLC
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
I
Methods for Patient Getting Medication
Cash Coupon Solution PBM Solution
Phar
mac
yPB
M
PBM
PBM
or S
elf
Ex P
ublix
Life
Sci
ence
Cash Discount Special Pharmacy Cash
Patient Assistance Benefit Alternatives
PBM
Mail Order
Patient Gets Medication Patient Gets Medication
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
I covermymedsreg
CoverMyMeds Vision to Help All Patients
Patient Matching and Eligibility Look up
Dat
aPh
arm
acy
Ex P
ublix
Life
Sci
ence
Phar
mac
yPB
M
PBM
PBM
Cash Special Pharmacy Cash
Patient Assistance Benefit Alternatives Mail Order
Patient Gets Medication
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
I
0 bull
bull bull bull bull
RxBC Patient Decision Support in 025 Seconds
Patient Cost Using Benefit Pharmacy Dispensing Insights
Clinically Appropriate Alternatives Automatic Patient Assistance
PA Indication with Post PA Cost Cash and Pharmacy Special Pricing
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
I
bull 0 bull bull bull
copy 2018 CoverMyMeds LLC All I -Rghts Reserved
Case Study for RxBenefit Clarity CoverMyMeds partnered with a leading EHR system with over 150000 providers to launch RxBenefit Clarity Since then RxBC has been used by providers to generate over 130 million individual searches
Patient pay amount returned was 97 accurate increasing providersrsquo confidence when speaking with patient about costs
Patients whose providers used RxBenefit Clarity were 19 more adherent to picking up their medications
Cheaper alternatives were shown in 25 million transactions helping providers give more options to their patients
Same day pick-up was available for 84 of the transactions generated 61 percent were available within one hour decreasing time to therapy
Providers ran an average of 4 transactions during a single patient visit showing active decision support that allows providers and patients to make decisions with confidence across the full spectrum of prescriptions
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
v COVERMYMEDS EHR 4 ~ Dr Smith
Q Dashboard
+ NEW PATIENT Medication Order
g Pat ie nts Q Sea ch for a patent rned cation hep topic etc
db Prior Author izat ion
Charise McCall 03071954 Female 64 years old MRN IM50TV85
O Sett ings
Tiffany Corona 10011995 Female 23 years old MRN 29G6X69P
~ Live Suppor t
Douglas Sparkman 06131974 Male 44 years old MRN SOE7QNTY
Jerry Bowlin 09101952 Male 66 years old MRN YT1GA76W
Robert c Tam 05191935 Male 83 years old MRN 3WDVPUZY
Sarah Fisher 08281994 Female 24 years old MRN 2KR2OWV4
Roy Quintan 07201943 Male 75 years o ld MRN ATLCLSFB
lt 3 4 2 gt 5
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCalt NRN 12345AZ Coverage Drug Plan XYZ
Medication Order Female 64 yrs 031 071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notifcations
Upcoming Appointment Monday January 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Pr ior Author izat io n
O Sett ings Current Prescriptions Patient Notes 0
~ Live Support Office Visit - 4 1217Saprocion 200MG tablets
Sect Lacinia finibus consequat Integer maximus auctor nunc sit am et
Timoderal 100MGtablets congue Etiam eleif end consec t etur quam u t t ris tique Ugula cursus
vel Fusee aliquam nisl et nulla fi nibus b ibendum
AgaUac Tiacane 10MG packets
Vaccination - 41217
Fusee et nisi erot Phase llus sit amet vive rra tortor[_0AdltJ -New ]
Annual Checkup -11517
Etiam fermentum varius turpis a blandit Aliquam hendrerit o r ci
vitae eros interdum ultric1es Praesent vestibulum egestas purus
N ullam semper n isi in velit posuere por ttitor
Lorem ipsum dolor sit amet consect etur adip iscing elit
v ew ill Patient Notes
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
COV E RMYM E D S EH R Dir Smith v
Q Dashboard
Charise McCa ll MRN1234SAZ Coverage Drug Plan XYZ
Medication Order Female 64 y1-s 03071954 ESN 224572 Last BMI 223 kgm
g Pat ients Notificatiors
Upcoming Appointment Monday Januar y 18th 2019 - Ann ual checkup Send Reminder I Reschedule
~ Prior Authorization
I) Setti ngs Current Prescriptions ew Prescription - Charis McCall X
bull Live Support Saproeion 200MG tablets
( DcugNam e ]Timode-ral 1001MG tablets
Agallac Tiacane 10MG p ckets Quant ity Direc t ions V Refi lls
New Pre5cription
0 Dispense as written
0 AddNew
Filled By V
CANC EL
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
---------
middotCOVERMYM E DS EH R Dr Smith v
Q Oash t)o ard
Charise McCalt M RN 12345AZ Coverage Drug Ptan XYZ
Medication Order Female b4 yrs 03071954 ESN 224572 Last BMI 223 kgm
g Patients otifcations
Upcomlng Appointment Monday Januar y 18th 2019 - Annua l checkup Send Reminder I Reschedule
~ Prior Author izat io n
O Settings Current Prescriptions New Prescription - Charis McCall X
Saprocion 200MG tablets
Apreretin 200MG tablets
Timodenl 10OMG tablets
Agallac Tiacane 1OMG packets 30 qD - Once Dai ly V None
New Prescription
0 Dispense as written
0 AddNew
Columbus Pr escr iption Pharms - 1020 High St Worthington V
CANCE ]
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
COVERMYMEDS EHR Dr Smith v
Q Dashboard
Charise McCall MRN 12345AZ Coverage Drug Plan XYZ
Medication Order Fernale b- yrs 03 071954 ESN 224572 Last BMI 223 kgm
g Patients Notifications
UpcomingAppointment Mo nday Jan uary 18th 2019 - Annual checkup Send Reminder I Reschedule
6 Prior Authorizat ion
(gt Settings Current Prescriptions New Prescription - Charis McCall X
bull Live Support Saprocion 2O0MG tablets
Apreretin 200MG tablets (30 o nce daily no refills)
Timoderal 100MG tablets
Prescription Benefit Details AgaltacTiacane 10MG packets
Prior authorizat ion required New Prescription
0 Start PA
Prior Authorization Estimated Cost0 AddNew $23500 - $28500
Plan Recommended Therapeutic Alternatives (c li eck t o switch)
O Eucrisa 100MG table ts
0 Elidel 400MG tab le t s
te r ti
CANCEL CREATE RX
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
------
ew Prescription - Charis McCa l X ew P escription - Charis McCa l X
Apreretin 200MG tablets (30 once da ilyt n o re fitLs ) Urobax 1SL (1SLj o nce daily no refills)
Prescriptiobulln Benefit Details
IPrmiddotesc ri ption Benefit Demiddottaits Prior authorization requ ired
II Start PA Estinated Cost
$73000 - $17500 Prior- Authorization Estimated Cost $23500 - $28500
Patient Deductible
Plan Recommended Therapeutic Alternatives (check to switch) 0 577312 of $3000 Remaining0 Eucrisa 100MG tab lets
0 El1del400MGtablets
JowerecHvRe a tealtr _-heP t _rrP An u-itdi-plytd1sa es - tt ttre y ~ ri oirt o _pafed m estimate at tr-e ~or Tleuro nt oi - p hJTl-1-Y bG-v i
CANCEL CREATE RX CANCEL CREATE RX
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-
covermymedsreg
Questions
- Slide Number 1
- CoverMyMeds helps patients get the medication they need to live healthy lives
- Healthier Lives
- Largest Network
- 2018 A Monumental Year of Service
- Slide Number 9
- A Lack Of Price Transparency
- Prescribers Talk About Medication Cost
- National Patient Survey Data
- Slide Number 15
- Introducing RxBenefit Clarity
- The Power Of The Pharmacy Network
- How RxBenefit Clarity Works
- Methods for Patient Getting Medication
- CoverMyMeds Vision to Help All Patients
- RxBC Patient Decision Support in 025 Seconds
- Case Study for RxBenefit Clarity
- Slide Number 27
- Slide Number 28
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
-