The document discusses the rising costs of unreimbursed pharmaceutical expenses for hospitals and the role that patient assistance programs play in helping to offset some of those costs, but notes that managing these programs can present organizational challenges for hospitals. It then describes how Rx Review acts as a resource for hospitals by handling the administration of patient assistance programs in order to help lower hospitals' unreimbursed drug costs without requiring additional hiring or straining existing hospital staff and resources.

2. The Burden of Unreimbursed Costs AHA 6% average all Hospital costs Pharmaceutical costs, especially oncology, are escalating rapidly Reimbursements from Medicare, Medicaid shrinking, Uninsured populations increasing

3. Patient Assistance Programs A piece of the cost management puzzle Free replacement drugs for qualifying patients Very effective for out-patients

4. Sounds Easy…But PAP programs as a group experience 15-20 changes per week. Each program may have different guidelines, even from the same manufacturer Most require… Patient and/or physician signatures Medical record verification A unique application form for each product All have deadlines of some sort

5. The Organizational Challenges Training Conflicting Job Priorities Data acquisition and analysis Managing awareness & coordination among the physicians, pharmacy, nursing, patients and pharmaceutical companies Staying current on PAP filing protocols Software Assistance

6. Rx Review is the Hospital’s Resource Acts on the hospital’s behalf and in the patient’s interest Helps link the hospital and patient to the pharmaceutical industry Maximizes the replacement opportunities

7. The Right Solution… Why RX Review? Fully and continuously trained staff An accountable two person client service team On site representation Reimbursement specialists trained in PAPs Regional supervision Custom designed solutions for each client

8. Proprietary Software Client data is screened and mined for potential PAP opportunities Eligible patients & drugs are matched Over 200+ high value drugs and over 70 pharmaceutical manufacturers are targeted Workflow management system prioritizes retrospective and prospective drug replacement opportunities HIPAA compliant

9. The Bottom Line… Lower unreimbursed pharmaceutical costs No hiring and training Profit No system troubleshooting No staff time spent on paperwork and tracking Grateful nods from the boss

10. Successful Implementation Partial Client List Baptist Health(AL) Stamford Hospital(CT) Baptist Health Care(FL) Meridian Healthcare System(NJ)** Robert Wood Johnson Medical Center(NJ) CentraState Healthcare System(NJ) Saint Barnabas Health Care System(NJ)** Parrish Medical Center(FL) Capital Health System(NJ)** Atlantic Health System(NJ)** Holy Name Hospital(NJ) **denotes multiple campuses

11. Keep Your Staff Doing What They Do Best

12. Contact Us RX Review Service, LLC 100 Eagle Rock Avenue 3rd Floor East Hanover, NJ 07936 Office: 866-897-7503 Fax: 877-893-1435 Website: www.RxReviewLLC.com