2. YOUR PRESCRIPTION PROGRAM IS BREAKING YOUR HEALTHCARE BUDGET
Prescriptions are your fastest growing health cost
Name Brand meds are increasing at a rate of 13%
The top 50 Generic meds have increased 373% the past 4 years
YOUR EXISTING SYSTEM ISN’T WORKING
Do not know your true prescription costs
Reporting is hard to acquire and almost impossible to understand
True transparency is clouded by hidden fees and promises of hard to pin down rebates
HIGH COPAYS AND DEDUCTIBLES DON’T WORK
If patients can't afford their out of pockets that causes medication non-adherence…which in
turn costs you a lot of money!
20% of hospitalizations are due to medication non-adherence
The average hospital stay is $30k
MEDICTION NON-ADHERENCE FACTS
20% of patients never fill the first prescription
60% of patients skip refills to save money
31% of prescriptions for chronic conditions are never filled
Medication non-adherence leads to worse medical treatment outcomes; higher, avoidable
hospitalization rates; and increased overall healthcare costs
Researchers estimate that eliminating copayments for patients at medium to high risk of heart
disease would improve adherence sufficiently to avoid 90,000 hospitalizations and generate
savings exceeding $1 billion.
A Few Quick Facts
3. A PROGRAM EXISTED WHERE:
Employers were able to save substantial amounts of money – without
compromising benefits?
Employees were able to receive their medications for aZero$Copay?
Both employees AND employers reduce their costs – significantly
Your current Rx program isn’t replaced – it merely enhances it.
INTRODUCING THE ZERO$COPAY PROGRAM
An International Mail Order Pharmacy Program
No cost for the employer to set up
No monthly charges for the employer or employee
Employees can receive their maintenance medications for a Zero$Copay
Employers are able to save between 60% - 70%
Completely voluntary for employees
90 day supply mail order program
It’s a true WIN/WIN for everyone involved.
What If……..
4. Drug
Name
Plan
Cost
Rank
Plan Cost
Rx Count
Rank
Rx Count
Ingredient
Cost
Cost Per
Order
Abilify 25 $39,737 441 26 $43,566 $1,675
Crestor 28 $35,885 59 100 $44,654 $446
Januvia 21 $42,382 136 62 $46,773 $754
ORDERING THROUGH OUR PROGRAM
Drug Name New Cost Per Order Savings Per Order % Savings
Abilify $314.37 $1360.63 81%
Crestor $104.15 $341.85 77%
Januvia $144.95 $609.05 80%
Based on this small sample – the employer saves over $2,300 and the employee
receives them at no cost!
Average Total Savings = 80%!
Imagine How This Looks When We Analyze All Of Your Rx Costs!
Here is a snapshot of three popular maintenance medications….taken from a recent PBM report for a
group……the employer is actually paying these $ numbers……….
How Much Does an Employer
Actually Pay for Prescription
Medications?
5. The substantial savings opportunities that LoneStarMeds provides are due to the prices negotiated
between most developed nations (excluding the United States) and the multi- national drug
conglomerates. In the U.S. market, prescription costs for brand name medications most often exceed
200% of the world average price. The United States has chosen not to negotiate a lower cost. As a
result of heavy lobbying in Washington, these multi-national companies report record earnings year
after year reaping upwards of over 50% of their profits in the United States.
LoneStarMeds can make a difference. Most programs achieve over 45% in savings while supplying
the same high quality, medications that Americans purchase today.
LoneStarMeds Management includes health care executives who are committed to setting
industry standards for client safety, product quality, as well as, secure and efficient delivery
systems. These professionals are committed to providing the highest quality, lowest cost
prescription medications available today.
LoneStarMeds has developed programs based on voluntary individual participation in order to
comply with FDA directives that allow members to obtain medications for personal use in up to a
90 day supply per order.
LoneStarMeds has contracted with government-licensed pharmacies in Canada, the United
Kingdom, Australia, New Zealand, India and Ireland. Medications, packaged by the original
manufacturer, are delivered directly from these contracted pharmacies to the patient.
LONESTARMEDS ADVANTAGES:
Cost savings are derived from government-negotiated pricing
Government certified products only (Canadian & International)
Uniform pricing
Uniform safety standards & accredited dispensing procedures
Only Accredited Pharmacies are utilized
Total program administration
Employee introduction & promotions
Reduced co-pays & member incentives
Substantial savings for the employer
Substantial Savings
6. PRODUCT SOURCING - LoneStarMeds has developed a formulary of over 250 widely used
maintenance medications.
Specifically excluded from this list are:
Acute medications (antibiotics)
Controlled substances (narcotics)
Targeted substances (benzodiazepines)
Medications requiring refrigeration
Medications which require ongoing monitoring/adjustments by primary care physicians
Precursor substances (Allegra-D)
In certain circumstances, customization of the formulary may take place according to your
benefit structure to obtain the maximum potential out of this program. Canadian and
International sourcing from certified pharmacies ensure a consistent supply of quality
medications.
Our primary goal is to ensure public safety. Medications are packaged by the manufacturer,
distributed by government-regulated wholesalers, labeled and dispensed by licensed
pharmacists and delivered directly to the end user by the U.S. Postal Service through its
approved international affiliates.
UNIFORM PRICING - LoneStarMeds commits to a single price for all employee groups regardless
of size.
LoneStarMeds pricing is based on the following costs:
Foreign Government negotiated medication costs
Local physician fees
Dispensing fees
Shipping fees
Substantial Savings
7. PROGRAM SUPPORT SERVICES - LoneStarMeds provides the following launch and ongoing support
services:
Seminars and employee group meetings
Dedicated toll free telephone and fax numbers
Call center services – Monday to Friday, 9:00am-5:00pm EST/EDT
Customized enrollment forms and materials for distribution
Website design and hosting including:
1. Program introductions
2. Enrollment materials
3. Full medication listings
4. Incentive initiatives for low co-pay benefit programs
5. Frequently Asked Questions & Answers
SUMMARY
Employees enjoy a $0 copay for their medication
Employer realizes substantial savings (50-60%)
Easy and seamless implementation
Works along side your existing PBM
Medication non-adherence improves
Stop-loss carriers reduce their rates
There is a better way to reduce risk, reduce cost, and improve the sustainability of your health plan.
LoneStarMeds provides a safe, low cost alternative to ever-increasing health care expenses.
LoneStarMeds option of purchasing otherwise expensive maintenance medications through safe
and reliable international sources, provides participants with an opportunity to eliminate co-pays
while reducing health plan costs. Our system is truly a win / win scenario for all concerned.
We look forward to the opportunity of meeting with your own experts to fully explain our system
that is already saving millions of dollars for other municipalities, school boards, counties and
private sector health plans
Substantial Savings
