Transcript CVS Caremark App - Anne Arundel County Public Schools

Anne Arundel County Public Schools
2011 Caremark Prescription Plan
Summary
November 2011
“Member” refers to plan member, an individual eligible for prescription drug benefits under a plan.
©2010 Caremark. All rights reserved. This presentation contains confidential and proprietary information of
CVS Caremark and cannot be reproduced, distributed or printed without written permission from CVS Caremark.
3-Tier Prescription Plan new for AACPS
• A new 3-Tier Co-pay Structure is Effective January 1, 2012
• A 3-Tier plan design means there will be three co-pay levels based
upon whether your prescription is a generic drug, preferred brand drug,
or non-preferred brand drug
– A Preferred Brand is a drug listed on the CVS Caremark Primary / Preferred
Drug List
– A Non-Preferred Brand is a drug not listed on the CVS Caremark Primary /
Preferred Drug List
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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.
What is a 3-Tier Rx Plan?
• It is the most common structure in employer prescription plans
• It permits employees to pay less when they take medications that also
cost AACPS less
• It is an approach to contain the growth in prescription expense in the
future.
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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.
What Are Your Co-pays for 2012?
Tier
Medication Type
Retail
CVS/Caremark Mail Order
(up to 30-day or CVS/pharmacy (up to
supply)
90-day supply)
$5.00
$10.00
1
Generic
2
Preferred Brand
$15.00
$20.00
3
Non-Preferred Brand
$25.00
$40.00
• Generic medications now cost you less, whether retail or mail order!
• You still have the ability to fill your 90-day supply of maintenance medications
at either Caremark Mail Service OR a CVS/pharmacy retail location of your
choice. You will pay the same co-pay at CVS/pharmacy as you would at
Caremark Mail Service for these maintenance medications.
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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.
How is the CVS/Caremark Drug Formulary Developed
and Managed?
• All FDA approved drugs are reviewed quarterly by the CVS Caremark
National Pharmacy and Therapeutics (P&T) Committee.
• The drug review process consists of a review of
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scientific evidence,
standards of practice,
peer-reviewed medical literature,
accepted clinical practice guidelines
Other appropriate information such as pharmacoeconomic studies
• The Committee consists of nationally recognized, practicing physicians,
pharmacists and a medical ethicist.
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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.
CVS Caremark National Pharmacy and
Therapeutics Committee Membership
• 3 pharmacists, including
– 1 academic pharmacist Allergy Hematology/oncology
– 1 hospital pharmacist Cardiology Internal medicine
– 1 geriatric pharmacist Clinical pharmacology Infectious disease
• 1 medical ethicist
• 14 physicians, representing
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Allergy
- Cardiology
Endocrinology Pediatrics
- Infectious Disease
Clinical Pharmacology
-Family practice
Pharmacoeconomics
-Hematology/oncology
Gastroenterology Pharmacology
-Internal Medicine
Gerontology Psychiatry-adult and pediatric/adolescent
• The regular voting members on the Committee are not employees of
CVS Caremark.
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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.
Formulary Drug Selection
• The drug selection process includes the following considerations:
– Drug safety relative to other drugs with the same indication and therapeutic
action
– Drug effectiveness for all FDA-approved indications and relative to other
drugs with the same indication and therapeutic action
– Available dosage forms of drug and dosing interval for each available
indication
– Potential for participant disruption in comparison to other drugs with the
same indications or therapeutic actions
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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.
How You Can Save $$$
• Use Generics
– You may be eligible to receive a free first fill for a generic alternative
for a brand medicine you are currently taking.
• Yes, you may receive a 90-day supply at no cost!
– Your doctor is best qualified to decide whether a generic alternative
is right for you. Obtain a copy of CVS Caremark’s Primary/Preferred
Drug List from www.caremark.com and discuss generic alternatives
with your physician.
• Remember
– If you request a brand-name medicine when a generic alternative medicine
is available, your total out-of-pocket costs for your prescription are higher.
You pay the brand co-pay plus the difference in cost between the brandname medicine and the generic medicine.
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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.
How to Save Money (cont’d)
• Preferred Brand Drugs
– If a Generic medication is not available, obtain a copy of CVS Caremark’s
Primary/Preferred Drug List from www.caremark.com and discuss Preferred
Brand alternatives with your physician.
• Those taking Non-Preferred brand medications will receive a letter identifying
Preferred Brand and Generic alternatives. Take this letter to your physician to
discuss your options.
• CVS ExtraCare Health Card
– Provides a 20% discount at CVS/pharmacy retail locations for CVS brand
over-the-counter products
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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.
Caremark.com
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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.
What You Can Do on Caremark.com
• View savings options, based on prescription history
• Access family claims and savings opportunities
• Identify savings for mail service, generics, preferred drugs
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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.
CVS Caremark App
• The CVS Caremark App can
be used on iPhones, iPads
and the iTouch.
• Allows CVS Caremark plan members
the ability to log-in and securely
manage their prescriptions online:
– Refill a Prescription
– Check Order Status
– View Prescription History
– Initiate a new or renewal
prescription
– Check Drug Cost
– Find a Pharmacy
– Access Drug Info
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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.
CVS Caremark WAP Site
• Caremark.com is also “WAP”
enabled allowing access from any
mobile device.
• With a fast, easy-to-use format,
mobile users can
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Refill Prescriptions
Request a New Prescription (FastStart)
View Prescription History
Check Order Status
Check Drug Cost
Find A Pharmacy
©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.
CVS Caremark eMessaging
• Through Caremark.com,
Members with Smart Phones
can opt-in for:
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Text Messages
eMails
Inbound Automated Calls
eNewsletters
• These messages engage
the Members and help you
Save Money, Save Time and
Stay Healthy.
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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.