MTAC – Association Presentation
August 1, 2007
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
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.
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
PCMA Members
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
What PBMs DoPCMA 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 (P&T) 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.
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
PCMA Affiliates
PBMs work closely with pharmaceutical manufacturers on a wide array of issues, including issues surrounding cost reduction, safety, and delivery.
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
MTAC Members
Arnie Epstein - Express Scripts
Tom Underkoffler – Medco
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
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
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
PBM Statistics - 2006
Mail Order exceeded 194M Rx’s
Retail exceeded 1.3B Rx’s
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
PBM Statistics Placed end to end, 2006 packages would
wrap around the earth at the equator – with overlap
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
Which Number is Higher?
Hummingbird Heartbeat at Rest
2006 PackagesDelivered per Second
A Bor
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
Hummingbird Heartbeat at Rest
2006 PackagesDelivered per Second
A B
4.2 Beats / Sec
* During Delivery Hours
11.9 Packages / Sec
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
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
PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
www.pcmanet.org
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