MTAC Association Presentation

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• MTAC Association Presentation

August 1, 2007
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About PCMA

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

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PCMA Members
 

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What PBMs Do

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

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

• Arnie Epstein - Express Scripts
• Tom Underkoffler Medco

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MTAC Benefits USPS Usage

• Membership utilizes many USPS products
• Parcels
• Express Mail
• Priority Mail
• First Class
• Standard
• Parcel Select
• Letters
• First Class
• Standard
• Flats
• First Class
• Standard

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PBM Statistics - 2006

• Mail Order exceeded 194M Rxs
• Retail exceeded 1.3B Rxs

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PBM Statistics

• Placed end to end, 2006 packages would wrap
  around the earth at the equator with overlap

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Which Number is Higher?
Hummingbird Heartbeat at Rest
2006 Packages Delivered per Second
A
B
or
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4.2 Beats / Sec
11.9 Packages / Sec
Hummingbird Heartbeat at Rest
2006 Packages Delivered per Second
B
A
During Delivery Hours
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PBM Information

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

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• www.pcmanet.org