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Cap discount rx card power point presentation Cap discount rx card power point presentation Presentation Transcript

  • Savings Community Assistance Program (CAP) Making Healthcare More Affordable A free resource to help un-insured and under- insured consumers save money on their prescription medications. Presented By: Robert L Hill, Regional Outreach Coordinator National Benefit Builders, Inc (CAP) Ph #: (813)885-6841 URL: http://www.caprxprogram.org/4me Discount Drug Card. This is not insurance. 1
  • DO YOU, OR DOES SOMEONE YOU KNOW, USEPRESCRIPTION MEDICATIONS? Are you currently getting a discount on your prescription medications? Are you paying full price for your prescriptions? Would you like to save an average of 15 - 55% on your prescription medications? If the program was provided at no charge, would it interest you? 2
  • C.A.P. - Who We Are… Community Assistance Program (CAP) is an outreach program of National Benefit Builders Inc. It was set up to help those that are uninsured and under-insured. NBBI was established in 1994, with the highest rating from the Better Business Bureau. CAP distributes free cards; Educates card users on how to use the cards; Helps people who do not have internet access compare drug prices; and Can assist people in finding pharmacies with the best prices for their prescription medications. We have saved cardholders over $250 million in drug costs. CAP never charges for any of these outreach services! 3
  • What is a Discount Drug Card? Prescription drug discount cards (also known as “consumer cards” and “point of sale cards”) allow prescription drug users to save money on all types of prescription medications. At the time of purchase, they simply present the card at any participating pharmacy to instantly receive substantial discounts on their prescription drugs. It’s that easy. 4
  • Benefits: CAP Prescription Discount Card Absolutely FREE! No cost, No charge, No enrollment, No membership, No restrictions or qualifications. Anyone can use it. The card is pre-activated and can be used over and over again. It never expires. SAVE from 10 to 85% on brand and generics with an average discount of 15% on brands and 55% on generics … even on lifestyle medications not covered by Medicaid and Medicare (e.g. Smoking Cessation, Infertility, Weight Management, Hair Loss, Durable Medical Equipment, etc.) HIPPA compliant. No personal information on the card. 5
  • What are the benefits of the CommunityAssistance Program (CAP) Rx savings card? Studies show that over 45 million Americans are without health insurance. An estimated 25 million are under-insured. Millions with plans have high deductibles or co-pays. There are millions of undocumented in the US that cannot apply for insurance.This free prescription resource can help all of the above!A person using the CAP Rx savings card can saveon average:15% on Brand Name Drugs55% on Generic DrugsSavings range from 10% to 85% off. The CAP Rx savings card can be used over and over again & does not expire. Can be used by an entire household. Is available in: Spanish, Arabic, Armenian, Cambodian, Creole, Farsi, French, Hmong, Korean, Kurdish, Chinese, Polish, Russian, Somali, Tagalog, Vietnamese, Yiddish and other languages. 6
  • Where can I use the CAP Rx savings card? The CAP card is accepted at over 80% of pharmacies in the US, Puerto Rico and the Virgin Islands Our Large network of chain pharmacies include but are not limited to: Walgreens, Rite-Aid, Wal-Mart, Target, Kroger, K-Mart, Longs Drugs, Safeway, Tops, Sav-On, Osco, Ongs, Albertsons, Sams, Winn-Dixie, Costco, Brooks, Stop & Shop, Medicine Shoppe, Duane- Reade, Heb, Meijer, Hy-Vee, Giant, CVS, Raleys, Shopko, Bi-Lo, Smiths, Pathmark, Fred Meyer, Aurora, Pamida, Frys, Kings, ShopRite, Hannaford, and Weiss Many local independent pharmacies also accept the card.To find a pharmacy in your area go to http://www.caprxprogram.org/4me and click on “Pharmacy Lookup” 7
  • Who needs a card? Anyone with limited or no prescription drug coverage People who already have insurance coverage may still find the card useful as it can discount medications that are not covered by their health plan. The prescription drug savings card can also be especially useful to seniors enrolled in Medicare; it has been estimated that as many as 38% of Medicare recipients lack prescription drug coverage. 8
  • Are there any forms or pre-qualification forsomeone to use the CAP Rx savings card? Absolutely None The CAP Rx savings card is a “bearer card” meaning anyone presenting the card at a participating pharmacy can receive a savings. There is absolutely no gathering of any personal information at time of use. 9
  • How will someone using a CAP Rx savings cardknow if they’re getting a discount? With CAP, an Rx savings card user can go to http://www.caprxprogram.org/4me and see what the price of the drug is at their local pharmacy. The Rx savings card user can ask the pharmacist at the time of purchase how much of a discount they received using the card. 10
  • What prescription drugs are eligible for a discountwhen using the CAP Rx savings card? All FDA approved prescription drugs are eligible for a discount with the Community Assistance Program (CAP) Rx savings card. “Lifestyle Drugs” such as EDF (erectile dysfunction), hair loss, fertility, smoking cessation, and weight loss meds Durable Medical Equipment – such as diabetic supplies can be obtained at greatly reduced rates. 11
  • Will the person get a discount every time the CAPRx savings card is used? A person using the card will get a discount approximately 94% of the time. The reason it is not 100% of the time is that pharmacies from time to time price certain drugs at cost to attract customers to their stores. In this type of situation the cardholder would get the lowest price without needing the discount card. 12
  • Some ways a CAP Rx savings card can be usedwith insurance. The program works even if a CAP Rx card user has insurance. Limited Formularies – Insurance companies are increasingly limiting which drugs they will pay for. For example: Birth Control - Diabetic Supplies - Smoking cessation and other lifestyle drugs such as obesity, erectile dysfunction, hair loss, fertility drugs, etc. that they decide are not cost effective for them. High deductible plans – The CAP Rx savings card allows people to get discounts on Rx Drugs before they reach the level at which the insurance company starts paying benefits. Medicare Part D – The CAP Rx savings card can be used to secure discounts on those drugs that are excluded from Medicare Part D. It will also provide discounts when a person on Medicare reaches the “donut hole coverage gap”. The Discount Card does not provide an additional savings if you have already used your insurance card. The two cannot be combined or used together. 13
  • Additional tools Available to help your patients… CAN’T AFFORD TO PAY FOR YOUR MEDICATION EVEN WITH A DISCOUNT CARD? 14
  • Eligibility Requirements 250% above Federal Poverty Levels Have NO current prescription coverage Medication must be in Program Must be a US Citizen 15
  • 16
  • Additional tools to help you…To locate pharmacies that accept the CAP Rx savings card, follow these steps: 1. Go to www.caprxprogram.org/4me (Must type into address bar at top of screen); 2. Click on the Drug Pricing and Pharmacy Look Up link button on the Home Page; 3. Click on Pharmacy Locator as shown here: You will come to a website similar to the image below… (Enter city and state or just the zip code of the pharmacies you wish to search as shown below and click the “Go” button) (Go to following slide for search results) 17
  • …here are the search results of pharmacies that accept the CAP Rx savings card within a specific city. Tip - To narrow the search for an area or a specific pharmacy, you can enter just the zip code or the name of a pharmacy with the city & state and/or zip code. 18
  • To price medications with the CAP Rx savings card discount included, follow these steps: 1. www.caprxprogram.org/4me (Must type into address bar at top of screen) 2. Click on the Drug Pricing & Pharmacy Look Up link button on the Home Page. 3. Click on Rx Drug Pricing as shown here: You will come to a website similar to the image below… (Enter the name of the medication in the “Drug Name” box as shown below and click the “Go” button) (Go to following slide for search results) 19
  • …then follow these steps to get to the Rx price with the discount included from the CAP Rx savings card.1. Click the circle left of on Rx dosage you wish to price (see ).2. After choosing Rx dosage wait a few seconds for the script details to appear as shown below. 3. Click the “Price Drug” box to price the prescription med. (See following slide for Rx pricing results) 20
  • Here are the Rx Pricing results for Zocor at a ShopRite Pharmacy…(as of Jan. 2012)Zocor 10 mg Tablet is $104.79 for a 30 day supply. Listed below is the generic alternative Simvastatin at $8.82, asignificant difference. However, different pharmacies have different prices! Clicking on the CVS information (seebelow) will give you the Rx pricing at this pharmacy. 21 (see following slide for Walgreens Rx pricing)
  • Here are the Rx Pricing results for the same meds at CVS pharmacy…The price for Zocor is a few dollars more but the price for Simvastatin is 66% less at ShopRite! NOTE: This price comparison is not an endorsement of one pharmacy over another, it’s just an example of how the Rx Pricing tool can really help your patients save even more. Also, we appreciate how busy you are and these are just tools that you can use at your discretion, we just want to educate you about them as much as possible. 22
  • Sample Prescription Savings - Brand PHYSICIAN RETAIL CARD $ %MEDICATION SPECIALTY PURPOSE COST COST* SAVINGS SAVINGS STATEVICODIN – 500 MG TABLETS PAIN MANAGEMENT PAIN RELIEVER $53.99 $46.37 $7.62 16 NYPERCOCET 325 - MG TABLETS PAIN MANAGEMENT PAIN RELIEVER $108.53 $91.98 $16.55 18 ARCELEBREX – 200 MG CAPSULES PAIN MANAGEMENT ARTHRITIS, ANTI- $160.99 $136.04 $24.95 15 MS INFLAMMATORYLIPITOR – 80 MG TABLETS CARDIOLOGY CHOLESTEROL $199.00 169.24 $29.76 17 NJZESTRIL – 30 MG TABLETS CARDIOLOGY BLOOD PRESSURE $82.89 $71.46 $11.43 16 MICOUMADIN – 5 MG TABLETS CARDIOLOGY BLOOD THINNER $57.69 $45.76 $11.93 20 LANEURONTIN – 100 MG CAPSULES NEUROLOGY/PSYCHIATRY SEIZURE, ANXIETY $79.99 $67.19 $15.80 19 FLKLONOPIN – 2 MG TABLETS NEUROLOGY/PSYCHIATRY SEIZURE, ANXIETY $101.20 $86.50 $14.70 17 NCXANAX – 2 MG TABLETS NEUROLOGY ANXIETY. PANIC $139.99 $123.36 $16.63 12 NYLYRICA – 150 MG TABLETS NEUROLOGY ANTICONVULSANT $109.00 $86.56 $22.44 21 MSSEROQUEL – 100 MG TABLETS PSYCHIATRY SCHIZOPHRENIA, $231.19 $184.04 $47.15 20 MN BIPOLARZOLOFT – 50 MG TABLETS PSYCHIATRY/OBGYN DEPRESSION, ANXIETY $148.25 $127.67 $20.58 14 AZPAXIL – 20 MG TABLETS PSYCHIATRY ANXIETY, DEPRESSION $143.00 $121.80 $21.20 15 NJCYMBALTA – 20 MG CAPSULES PSYCHIATRY ANXIETY, DEPRESSION $185.80 $152.07 $33.73 18 ALNEXIUM – 20 MG CAPSULES GASTROENTEROLOGY ACID REFLUX $227.50 $190.14 $37.36 16 MSGLUCOPHAGE – 500 MG TABLETS ENDOCRINOLOGY/OBGYN INSULIN RESISTANCE/ $110.58 $93.54 $17.04 15 IN INFERTILITYBONIVA – 150 MG TABLET OB/GYN OSTEOPOROSIS $165.00 $133.07 $31.93 19 NYAUGMENTIN – 875 MG TABLETS PEDIATRICS INFECTION $239.49 $206.88 $32.61 14 NYCEFTIN – 250 MG TABLETS PEDIATRICS INFECTION $350.39 $309.00 $41.39 12 FLALLEGRA-D 24 HR. TABLETS ENT/FAMILY PRACTICE ALLERGY $179.10 $139.75 $39.35 22 PAZITHROMAX – 250 MG TABLETS FAMILY PRACTICE INFECTION $376.50 $327.17 $49.33 13 MDYASMIN 25 – TABLETS OBGYN CONTRACEPTIVE $145.50 $95.80 $49.70 34 NJFLOMAX - .4 MG CAPSULES UROLOGY MUSCLE RELAXER $163.00 $143.75 $19.25 12 NY PROSTATEVIAGRA – 50 MG TABLETS UROLOGY ERECTILE DYSFUNCTION $105.00 $86.04 $13.96 18 NJ*These are estimated prices and the discounted prices are different for each pharmacy. Generally, the supermarketchains (Walmart, Target, Waldbaums, etc.) will provide the lowest prices on medications. 23
  • Sample Prescription Savings - Generics PHYSICIAN RETAIL CARD $ %MEDICATION SPECIALTY PURPOSE COST COST* SAVINGS SAVINGS STATEHYDROCODONE - 1 BOTTLE 473 ML PAIN MANAGEMENT PAIN RELIEVER $60.98 $28.06 $31.94 52 NYENDOCET 325 - MG TABLETS PAIN MANAGEMENT PAIN RELIEVER $34.99 $16.17 $18.82 54 ARSIMVASTATIN – 80 MG TABLETS CARDIOLOGY CHOLESTEROL $35.99 $12.00 $23.99 67 NJLISINOPRIL – 20 MG TABLETS CARDIOLOGY BLOOD PRESSURE $21.99 $8.81 $13.18 60 MILOVASTATIN – 40 MG TABLETS CARDIOLOGY CHOLESTEROL $35.99 $11.46 $24.53 68 LAMETOPROLOL – 50 MG TABLETS CARDIOLOGY ANGINA, HYPERTENSION $46.30 $7.73 $38.57 83 MNGABAPENTIN – 100 MG CAPSULES NEUROLOGY/PSYCHIATRY SEIZURE, ANXIETY $81.99 $21.33 $60.66 74 FLCLONAZEPAM – 2 MG TABLETS NEUROLOGY/PSYCHIATRY SEIZURE, ANXIETY $105.99 $11.79 $94.20 89 NCALPRAZOLAM – XR 2 MG TABLETS NEUROLOGY ANXIETY. PANIC $75.99 $24.68 $51.31 67 NYDIAZEPAM – 5 MG TABLETS NEUROLOGY/PSYCHIATRY/ ANXIETY, SEIZURES $30.19 $7.40 $22.79 75 NJ FAMILY PRACTICEFLUVOXAMINE – 100 MG TABLETS PSYCHIATRY DEPRESSION, OCD $132.99 $25.27 $107.72 81 ALSERTRALINE – 100 MG TABLETS PSYCHIATRY/OBGYN DEPRESSION, ANXIETY $85.89 $9.43 $76.46 89 AZFLUXOETINE – 20 MG CAPSULES PSYCHIATRY ANXIETY, DEPRESSION $84.00 $8.07 $75.93 94 NJCLARITHOMYCIN – 250 MG TABLETS GASTROENTEROLOGY INFECTION $109.99 $30.25 $79.74 72 MSOMEPRAZOLE DR – 20 MG CAPSULES GASTROENTEROLOGY ACID REFLUX $72.99 $12.29 $60.70 83 NYMETFORMIN – 850 MG TABLETS ENDOCRINOLOGY/OBGYN INSULIN RESISTANCE/ $51.99 $8.88 $43.11 83 IN INFERTILITYALENDRONATE – 10 MG TABLETS OB/GYN OSTEOPOROSIS $240.00 $29.13 $210.87 88 NYAMOXICILLIN – 500 MG CAPSULES PEDIATRICS INFECTION $49.99 $16.24 $33.75 68 NYCLINDAMYCIN – 150 MG CAPSULES PEDIATRICS INFECTION $79.99 $10.89 $69.10 86 FLCEPHALEXIN – 500 MG CAP PEDIATRICS INFECTION $49.88 $12.81 $37.07 74 GAALBUTEROL – 0.083% 75 ML ENT ASTHMA, MUSCLE $51.89 $12.79 $39.10 75 NY RELAXANTFEXOFENADINE – 180 MG TABLETS ENT/FAMILY PRACTICE ALLERGY, $96.48 $39.37 $57.11 56 PAAZITHROMYCIN – 250 MG TABLETS FAMILY PRACTICE INFECTION $95.28 $42.08 $53.20 56 CTIBUPROFEN – 600 MG TABLETS FAMILY PRACTICE HEADACHE $41.99 $9.53 $32.46 77 NYFLUTICASONE – 50 MCG NASAL ENT/FAMILY PRACTICE ALLERGY $97.45 $35.65 $61.80 63 NJPREDNISONE – 5 MG TABLETS RHEUMATOLOGY INFLAMMATION $35.00 $6.00 $29.00 83 NYCHANTIX – STARTER PACK 30 DAYS PULMONARY SMOKING CESSATION $162.23 $96.26 $65.97 41 FL 24
  • QUICK REVIEWQ: Who can use the card? Are there any restrictions?A: Anyone can use the card. There are NO restrictions.Q: What kind of savings are we talking about?A: The Community Assistance Program drug discount card offers substantial discounts on all FDA-approved brand-name and generic drugs. We save people an average of 15% on brand drugs and 55% on generic drugs.Q: Can I use this card along with my insurance plan?A: No you cannot use this along with an insurance plan – it cannot be combined.Q: What prescription medications are available with this card?A: All FDA approved brand and generic prescription medications are available.Q: What other discounts does the card provide?A: The card provides discounts on Durable Medical Equipment and Lifestyle Drugs.Q: Can I find prices via the Internet?A: Yes. In fact, we recommend it. Use the Drug Pricing tool to find participating pharmacies near you and the prices they charge. It’s an easy way to do comparison shopping.Q: Some drugs are excluded from our current program. Will I get a discount on these drugs with your card?A: With our program all FDA-approved prescription drugs are eligible for discounts. 25
  • HealthTrans Access is Our DiscountHealthcare Service Provider Organization… HealthTrans was founded in 2000. HealthTrans processes 100 million claims annually, representing 15.3 million lives per year, and $4 billion in prescription drug spending. HealthTrans officials are responsible for negotiating and administering all of the discounts that we are able to offer. They are constantly seeking lower rates for the CAP card user and finding ways to create more product and service offers that will help the consumer. They can be located on online at http://www.healthtrans.com 26
  • National Benefit Builders, Inc 25B Hanover Road, Florham Park, NJ 07932 Ph # 888-311-6224 http://nbbihome.com 27
  • Community Assistance Program Making Healthcare More AffordableIf you would like more information you can visit our website atwww.caprxprogram.org/4me or call us.We also welcome the opportunity to speak with organizations aboutfundraisers and providing additional benefits to its members and patients. Robert L Hill NBBI CAP Regional Outreach Coordinator Office Ph #: (813) 885-6841 *** Mobile/Texting Ph #: (813) 253-9799 Fax # (813) 925-4341Email Address: hbgroup4u@gmail.com or one of our website ContactForms at: www.caprxprogram.org/4me or www.freeusadrugplan.com/4mePlease call or email us if you have any questions or if you would like toreceive a supply of CAP Rx savings cards for your organization. 28