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1 A free resource to help your un-insured and under-insured patients save money on their prescription medications. Community Assistance Program (CAP) Making.

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Presentation on theme: "1 A free resource to help your un-insured and under-insured patients save money on their prescription medications. Community Assistance Program (CAP) Making."— Presentation transcript:

1 1 A free resource to help your un-insured and under-insured patients save money on their prescription medications. Community Assistance Program (CAP) Making Healthcare More Affordable Savings Discount Drug Card. This is not insurance.

2 2 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 % on your prescription medications? If the program was provided at no charge, would it interest you? Does your organization need a fundraiser? Could your organization benefit from offering this service to your members? DO YOU, OR DOES SOMEONE YOU KNOW, USE PRESCRIPTION MEDICATIONS?

3 3 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 an A+ 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 $350 million in drug costs. CAP never charges for any of these outreach services!

4 4 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. Its that easy.

5 5 Absolutely FREE ! No cost, No charge, No enrollment, No membership, No restrictions or qualifications. Anyone can use it. Pre-activated and can be used over and over again. 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. Benefits: CAP Prescription Discount Card

6 6 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 save on average : 15% on Brand Name Drugs 55% on Generic Drugs Savings range from 10% to 85% off. What are the benefits of the Community Assistance Program ( CAP ) Rx savings card? 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: Arabic, Armenian, Cambodian, Creole, Farsi, French, Hmong, Korean, Kurdish, Chinese, Polish, Russian, Somali, Tagalog, Vietnamese, Yiddish and other languages. Print Card

7 7 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, Raley's, Shopko, Bi-Lo, Smiths, Pathmark, Fred Meyer, Aurora, Pamida, Fry's, Kings, ShopRite, Hannaford, and Weiss Many local independent pharmacies also accept the card. To find a pharmacy in your area go to click on Pharmacy Lookupwww.communitylifelines.com

8 8 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 over 38% of Medicare recipients lack prescription drug coverage.

9 9 Are there any forms or pre-qualification for someone 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.

10 10 How do they work? The Prescription Drug Savings cards contain special computerized instructions which are input by the pharmacist. When the card information is entered, the price on the prescription is discounted based on the pharmacy's agreement with our program. This type of cutting-edge technology allows consumers to save money without encountering any difficulties at the checkout line. THIS IS NOT INSURANCE!

11 11 How will someone using a CAP Rx savings card know if theyre getting a discount? With CAP, an Rx savings card user can go to and see what the price of their drug is at their local pharmacy. (see slide #6 of this presentation) The Rx savings card user can ask the pharmacist at the time of purchase how much of a discount they received using the card.

12 12 What prescription drugs are eligible for a discount when 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.

13 13 Will the person get a discount every time the CAP Rx 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.

14 14 Some ways a CAP Rx savings card can be used with 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. The program works even if a CAP Rx card user has insurance.

15 15 Additional tools Available to help your patients…

16 16

17 17 Eligibility Requirements Earn up to 250% above Federal Poverty Levels Have NO current prescription coverage Medication must be in Program Must be a US Citizen

18 18 Additional tools to help your patients… To locate pharmacies that accept the CAP Rx savings card, follow these steps: (Enter city and state or just the zip code of the pharmacies you wish to search as shown below and click the Go button) You will come to a website similar to the image below… (Go to following slide for search results) 1.Go to (Must type into address bar at top of screen);http://www.communityactionprogram.org/ 2.Click on the Drug Pricing and Pharmacy Look Up link button on the Home Page; 3.Click on Pharmacy Locator as shown here:

19 19 …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 t he zip code or the name of a pharmacy with the city & state and/or zip code.

20 20 To price medications with the CAP Rx savings card discount included, follow these steps: 1. (unique rep id) (Must type into address bar at top of screen)www.caprxprogram.org/ 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)

21 21 …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)

22 22 Here are the Rx Pricing results for Zocor at a ShopRite Pharmacy… Zocor 10 mg Tablet is $ for a 30 day supply. Listed below is the generic alternative Simvastatin at $8.82, a significant difference. However, different pharmacies have different prices! Clicking on the CVS information (see below) will give you the Rx pricing at this pharmacy. (see following slide for Walgreens Rx pricing)

23 23 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, its 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.

24 24 PHYSICIAN RETAILCARD$% MEDICATIONSPECIALTYPURPOSECOST COST*SAVINGS STATE VICODIN – 500 MG TABLETSPAIN MANAGEMENTPAIN RELIEVER$53.99$46.37$7.6216NY PERCOCET MG TABLETSPAIN MANAGEMENTPAIN RELIEVER$108.53$91.98$ AR CELEBREX – 200 MG CAPSULESPAIN MANAGEMENT ARTHRITIS, ANTI- INFLAMMATORY $160.99$136.04$ MS LIPITOR – 80 MG TABLETSCARDIOLOGYCHOLESTEROL$ $ NJ ZESTRIL – 30 MG TABLETSCARDIOLOGYBLOOD PRESSURE$82.89$71.46$ MI COUMADIN – 5 MG TABLETSCARDIOLOGYBLOOD THINNER$57.69$45.76$ LA NEURONTIN – 100 MG CAPSULESNEUROLOGY/PSYCHIATRYSEIZURE, ANXIETY$79.99$67.19$ FL KLONOPIN – 2 MG TABLETSNEUROLOGY/PSYCHIATRYSEIZURE, ANXIETY$101.20$86.50$ NC XANAX – 2 MG TABLETSNEUROLOGYANXIETY. PANIC$139.99$123.36$ NY LYRICA – 150 MG TABLETSNEUROLOGYANTICONVULSANT$109.00$86.56$ MS SEROQUEL – 100 MG TABLETSPSYCHIATRY SCHIZOPHRENIA, BIPOLAR $231.19$184.04$ MN ZOLOFT – 50 MG TABLETSPSYCHIATRY/OBGYNDEPRESSION, ANXIETY$148.25$127.67$ AZ PAXIL – 20 MG TABLETSPSYCHIATRYANXIETY, DEPRESSION$143.00$121.80$ NJ CYMBALTA – 20 MG CAPSULESPSYCHIATRYANXIETY, DEPRESSION$185.80$152.07$ AL NEXIUM – 20 MG CAPSULESGASTROENTEROLOGYACID REFLUX$227.50$190.14$ MS GLUCOPHAGE – 500 MG TABLETSENDOCRINOLOGY/OBGYN INSULIN RESISTANCE/ INFERTILITY $110.58$93.54$ IN BONIVA – 150 MG TABLETOB/GYNOSTEOPOROSIS$165.00$133.07$ NY AUGMENTIN – 875 MG TABLETSPEDIATRICSINFECTION$239.49$206.88$ NY CEFTIN – 250 MG TABLETSPEDIATRICSINFECTION$350.39$309.00$ FL ALLEGRA-D 24 HR. TABLETSENT/FAMILY PRACTICEALLERGY$179.10$139.75$ PA ZITHROMAX – 250 MG TABLETSFAMILY PRACTICEINFECTION$376.50$327.17$ MD YASMIN 25 – TABLETSOBGYNCONTRACEPTIVE$145.50$95.80$ NJ FLOMAX -.4 MG CAPSULESUROLOGY MUSCLE RELAXER PROSTATE $163.00$143.75$ NY VIAGRA – 50 MG TABLETSUROLOGYERECTILE DYSFUNCTION$105.00$86.04$ NJ *These are estimated prices and the discounted prices are different for each pharmacy. Generally, the supermarket chains (Walmart, Target, Waldbaums, etc.) will provide the lowest prices on medications. Sample Prescription Savings - Brand

25 25 Sample Prescription Savings - Generics PHYSICIAN RETAILCARD$% MEDICATIONSPECIALTYPURPOSECOST COST*SAVINGS STATE HYDROCODONE - 1 BOTTLE 473 MLPAIN MANAGEMENTPAIN RELIEVER$60.98$28.06$ NY ENDOCET MG TABLETSPAIN MANAGEMENTPAIN RELIEVER$34.99$16.17$ AR SIMVASTATIN – 80 MG TABLETSCARDIOLOGYCHOLESTEROL$35.99$12.00$ NJ LISINOPRIL – 20 MG TABLETSCARDIOLOGYBLOOD PRESSURE$21.99$8.81$ MI LOVASTATIN – 40 MG TABLETSCARDIOLOGYCHOLESTEROL$35.99$11.46$ LA METOPROLOL – 50 MG TABLETSCARDIOLOGYANGINA, HYPERTENSION$46.30$7.73$ MN GABAPENTIN – 100 MG CAPSULESNEUROLOGY/PSYCHIATRYSEIZURE, ANXIETY$81.99$21.33$ FL CLONAZEPAM – 2 MG TABLETSNEUROLOGY/PSYCHIATRYSEIZURE, ANXIETY$105.99$11.79$ NC ALPRAZOLAM – XR 2 MG TABLETSNEUROLOGYANXIETY. PANIC$75.99$24.68$ NY DIAZEPAM – 5 MG TABLETS NEUROLOGY/PSYCHIATRY/ FAMILY PRACTICE ANXIETY, SEIZURES$30.19$7.40$ NJ FLUVOXAMINE – 100 MG TABLETSPSYCHIATRYDEPRESSION, OCD$132.99$25.27$ AL SERTRALINE – 100 MG TABLETSPSYCHIATRY/OBGYNDEPRESSION, ANXIETY$85.89$9.43$ AZ FLUXOETINE – 20 MG CAPSULESPSYCHIATRYANXIETY, DEPRESSION$84.00$8.07$ NJ CLARITHOMYCIN – 250 MG TABLETSGASTROENTEROLOGYINFECTION$109.99$30.25$ MS OMEPRAZOLE DR – 20 MG CAPSULESGASTROENTEROLOGYACID REFLUX$72.99$12.29$ NY METFORMIN – 850 MG TABLETSENDOCRINOLOGY/OBGYN INSULIN RESISTANCE/ INFERTILITY $51.99$8.88$ IN ALENDRONATE – 10 MG TABLETSOB/GYNOSTEOPOROSIS$240.00$29.13$ NY AMOXICILLIN – 500 MG CAPSULESPEDIATRICSINFECTION$49.99$16.24$ NY CLINDAMYCIN – 150 MG CAPSULESPEDIATRICSINFECTION$79.99$10.89$ FL CEPHALEXIN – 500 MG CAP PEDIATRICSINFECTION$49.88$12.81$ GA ALBUTEROL – 0.083% 75 MLENT ASTHMA, MUSCLE RELAXANT $51.89$12.79$ NY FEXOFENADINE – 180 MG TABLETSENT/FAMILY PRACTICEALLERGY,$96.48$39.37$ PA AZITHROMYCIN – 250 MG TABLETSFAMILY PRACTICEINFECTION$95.28$42.08$ CT IBUPROFEN – 600 MG TABLETSFAMILY PRACTICEHEADACHE$41.99$9.53$ NY FLUTICASONE – 50 MCG NASALENT/FAMILY PRACTICEALLERGY$97.45$35.65$ NJ PREDNISONE – 5 MG TABLETSRHEUMATOLOGYINFLAMMATION$35.00$6.00$ NY CHANTIX – STARTER PACK 30 DAYSPULMONARYSMOKING CESSATION$162.23$96.26$ FL

26 26 QUICK REVIEW Q: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. Its 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.

27 27 If you would like more information you can visit our website or call us at We welcome the opportunity to speak with organizations about fundraisers and providing additional benefits to its members. Michael OReilly Regional Outreach Coordinator Please call or us if you have any questions or if you would like to receive a supply of CAP Rx savings cards for your organization. Community Assistance Program Making Healthcare More Affordable

28 28 HOW MANY CARDS WOULD YOU LIKE TO RECEIVE FOR FREE?


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