Prescription Assistance Prescription Assistance Program (PAP)Program (PAP)

Mission

“Aiding individuals in obtaining needed medication for maintaining and

improving healthy lives.”

History of PAPHistory of PAP

- Established in 2003 as a collaborative effort between SCASC, Dakota Medical Foundation and regional health care providers

- Piloted in Valley City and furthered developed with an office in Fargo

- Currently serving clients and health care providers in ND, MN, SD and four additional states

Need for PAPNeed for PAP

- Address the barriers disadvantaged individuals face when attempting to access needed medication:Low-income, lack health insurance, lack prescription coverage and seniors in the Medicare Part D Coverage Gap

- Reduce operating costs for health care providers in relation to prescription

assistance processing

Statistical NeedStatistical Need

Assessments conducted with Dakota Medical Foundation:

11.2

Average hours of service per PAP client annually

56%

Average savings per client PAP provides on operating costs to providers

Average ClientAverage Client

- Lacks major form of health insurance

- Below 250% of Federal Poverty Level

- Seeks assistance for 5+ medications

- Receives $10,500+ prescription savings annually

Services ProvidedServices Provided

Prescription Assistance Processing(Five-step process including initial referral, coordination between client and health care

provider and submission of materials to pharmaceutical manufacturers)

Case-Management(Average client receives three refills per medication annually)

Services Provided Cont.Services Provided Cont.

Health Insurance Counseling(Certified through North Dakota

Insurance Department)

Outreach(Service information to health care and human

service providers and responsible prescription use information to clients.

Presentations to electronic newsletters.)

How Prescription How Prescription Assistance WorksAssistance Works

Initiated by referral from health care provider, human service organization or self-initiated

Continues with five step processing consisting of coordination between patient, health care provider,

and pharmaceutical manufacturer

Ends with individual receiving 90-day supply of medication (mailed to home or doctors office) and

being eligible for three refills per medication annually

How $$$ Is SavedHow $$$ Is Saved

Patients(Savings on prescription medication and office visit co-pays)

Providers(Savings on operating costs)

Manufacturers(Tax incentive to provide medications to 501(c)3 programs

and low income individuals)

PAP OrganizationPAP Organization

Program Director (1)

Part-Time Staff / Technicians (3)

Contributors:Courier systems between offices and providers

and provider enrollment / credentialing services

2010 Annual Snapshot2010 Annual Snapshot

262Health Care Providers Served

465Clients Served

2,727Medications Processed

$4,892,040Prescription Savings Obtained

Top Medications Obtained Top Medications Obtained 20102010

Medication Cost Use ____________ Glucose Test Strips $839,640.90 Diabetic Testing SupplyNovoLog $538,877.36 Rapid-Acting InsulinLantus $290,596.95 Long-Acting InsulinHumira $164,588.40 Arthritic Anti-InflammatorySymbicort $109, 591.70 Respiratory SteroidHumalog $102,093.90 Rapid-Acting InsulinLamictal $100,171.30 AnticonvulsantAdvair Diskus $90,806.47 Respiratory Inhalation Neurontin $85,650.30 Anticonvulsant

Abilify $75,015.90 Anti-Psychotic / Dementia

Provider Assessment Provider Assessment ResultsResults

100% Believe the patients they refer are able to

maintain or improve their overall health

100%Save operating time and costs due to being

able to refer clients to PAP

Client Assessment ResultsClient Assessment Results

100%Believe they are able to maintain or improve overall

health due to access to PAP services

98%Of individuals who lack basic health insurance benefit

by being able to access PAP services

60%Do not engage in lifestyle activities that are

detrimental to their prescription use

Strategic Plan 2011Strategic Plan 2011

1. Expansion of services and service area (Balance rural and urban needs)

2. Development of acute medication voucher (Reduce systemic costs if left untreated)

3. Development of “Fill The Pill” fundraising drive (Diversification)

4. Development of “Responsible Patient Initiative” User Manual (Further develop overall mission of PAP)

QuestionsQuestions

For further questions please contact:

Ty Hegland

Director / Public Affairs Officer(701) 364-0398

ty@southcentralseniors.org