An aging population

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• An aging population

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Faster FDA approval of medications
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Direct-to-consumer advertising
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Physicians promoting the use of new drugs
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More people using medication
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All lead to escalating costs.
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Pharmaceutical Expenditures
Source IMS
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In general, prescription expenditures have
increased, on average, 13 each year for the last
nine years.
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Beyond Rx will help keep your prescription costs
in check
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by introducing you to the next generation of
Transparent PBMs.
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MOVE
BEYOND
THE TRADITIONAL PBM
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A Transparent PBM Company
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Beyond Rx Highlights

• Incorporated in 1996
• Overland Park, Kansas (Kansas City, KS)
• Second Generation PBM
• Direct Management of over 700 Groups
• Process approximately 20 million retail, managed
  care, and mail order claims per year
• Quarterly trends below national averages

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Keys to Our Success

• Private Ownership
• We put the clients needs first.
• Independence
• We do not own any part of the pharmaceutical
  delivery chain.

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Keys to Our Success

• Bang for the Buck
• We promise the highest level of service at an
  affordable cost.
• Reliability
• Our claims processor is a proven and robust
  system.

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BeyondRx Benefits
Expect these benefits from Beyond Rx
Client Keeps Pharmacy Discounts
Fully Disclosed Rebates
Flat Transaction Fee on Claims
A History of Full Transparency
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With other (first generation) PBMs, the benefits
disappear.
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From the beginning, weve been straightforward
with our clients, keeping their interests in mind.
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To this end weve always charged a flat
transaction fee. Weve never tacked on hidden
fees or withheld rebates. In other words, we are
a transparent PBM.
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Transparent PBM
How does our transparent business model help our
clients?

• It Reduces Drug Ingredient Costs
• because we pass pharmacy discounts on to the
  client.
• It makes administrative costs predictable
• because we charge a flat transaction fee.

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What are you paying for?

• Markups represent an extra revenue stream for
  first generation PBMs.
• For example

The First Generation PBM pays
8.00 ingredient cost 1.50 dispensing
fee Total 9.50
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What are you paying for?
The First Generation PBM Charges the Plan Sponsor
10.00 ingredient costs 2.00 dispensing
fee Total 12.00
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• As a result, the first generation PBM has made
  2.50 in markups!

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What are you paying for?

• A first generation PBM needs to generate extra
  revenue at your expense to support various
  parties.
• If we take the same 2.50 markup . . .
• A Broker would be paid 50
• Consultants would be paid 25 to 50
• The PBM would keep 1.25 to 1.50

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No Hidden Revenuesor Fees
Hidden Fees in the Traditional PBM Business Model
Ingredient Cost Revenue Dispensing Fee
Revenue Manufacturer Rebates
NONE
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s e r v i c e s
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Beyond Rx Services

• Managed Care Programs
• Self Funded
• Partially Funded
• Claims Processing
• Internal Help Desk Support
• Flexible Plan Design Options
• Formulary / Rebate Management

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Beyond Rx Services

• Beyond Rx Pharmacy Networks
• National Network
• Select Network
• Restricted Network
• Maintenance Medication Program
• Community Pharmacy Maintenance Program
  (Access Varies)
• Mail Order Options
• Drug Utilization Management Programs

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Beyond Rx Services

• Reporting Functionality
• Select from standard reports or use our custom
  report feature.
• Secure Web Application
• Gives members access to their prescription
  copay, copay design, drug history pharmacy
  providers.

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Cost Saving Interventions

• Identify Specialty Medications Individualized
  Programs
• Half-Tab Programs
• Zoloft Half Tab Program (Optional)
• Prior Authorization Programs
• Step Therapy Programs
• Market Share Manufacturer Programs
• TAP PREVACID
• Rebate
• Member Rebate (up to 25.00 for each Rx)
• Conservative Program Oversight by PT Committee

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One Clients Success Story
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• A Third Party Administrator
• in Kansas City with over
• 24O Small Groups needed . . .

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• A TPA needed . . .

• individualized plan design options
• network savings
• formulary management
• and
• transparency in their PBM partner

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d e l i v e r e d
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• 240,000 Annual Savings over First Generation
  Incumbent PBM
• 76,000 Annual Rebate Payout higher than that
  of First Generation Incumbent PBM
• Average Savings of 5.00 per
  Prescription

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www.beyond-rx.com
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