1. ADAP ADVOCACY ASSOCIATION 2013 HIV/HCV CO-INFECTION SUMMIT Lynda Dee Fair Pricing Coalition PAPS & CO-PAY PROGRAMS

2. FAIR PRICING COALITION Martin Delaney Linda Grinberg 1999

3. FAIR PRICING COALITION FPC History Programs and Initiatives Common Form, HarborPath, Welvista HIV & HCV PAP Criteria HIV & HCV Co-Pay Criteria FPC Members & Contact Information

4. FAIR PRICING COALITION  Worked with ADAP Directors  First ever price freeze (2 years in 2002)  Resulted in $50MIL to ADAPs  Works with ADAP Crisis Task Force  Involved in HCV since 2010

5. FPC PROGRAMS & INITIATIVES Initial pricing after FDA approval Medical CPI for price increases Patient Assistance Programs (PAPs) Co-Pay Programs for private insurance Co-Pay Programs for Part D clients PAP coverage for the underinsured

6. HRSA COMMON FORM  Patient name & contact information  Healthcare coverage  Physician’s name & contact information  Alternate shipping information  Prescription information  Signature of patient and provider  http://www.nastad.org/Docs/110312_CPAPA.pdf

7. WELVISTA & HARBORPATH One stop shopping Transitioning from Welvista: Waiting list Licensed in only 21 states To HarborPath: All clients Licensed in all 50 states – one portal HarborPath.org - 855-300-8916

8. ABBVIE (ABBOTT) PATIENT ASSISTANCE PROGRAM (PAP)  500% of Federal Poverty Level (FPL)  $4,788 per month/$57,450 per year  Underinsured: Deductibles, Part D copays  Participates with Welvista & HP

9. BOEHRINGER INGELHEIM (BI)PATIENT ASSISTANCE PROGRAM (PAP)  500% of FPL  $4,788 per month/ $57,450 per year  Underinsured: Deductibles, Part D copays  Participates with Welvista, not HP

10. BRISTOL-MYERS SQUIBB (BMS) PATIENT ASSISTANCE PROGRAM (PAP)  500% of FPL  $4,788 per month/$57,450 per year  Underinsured: Deductibles, Part D co-pays  Participates with Welvista  In negotiaions with HarborPath

11. GENENTECH/ROCHE PATIENT ASSISTANCE PROGRAM (PAP)  950% of FPL  $9,090 per month/$109,155 per year  Contributes to Co-Pay Foundations  Does not participate with Welvista/HP

12. GILEAD PATIENT ASSISTANCE PROGRAM (PAP)  500% of FPL  $4,788 per month/$57,450 per year  Underinsured: Deductibles, Part D copays  Participates with Welvista and HP

13. JANSSEN PATIENT ASSISTANCE PROGRAM (PAP)  200% FPL  $1,915 per month/$22,980 per year  Makes FPL income exceptions  Underinsured: Part D co-pays only  Participates with Welvista and HP

14. MERCK HIV & HCV PATIENT ASSISTANCE PROGRAM (PAP)  500% of FPL  $4,788 per month/$57,450 per year  Underinsured: Deductibles, Part D co-pays  Participates with Welvista & HP

15. VERTEX HCV PATIENT ASSISTANCE PROGRAM (PAP)  Monthly household income $8,333  Annual household income $100,000  Underinsured: Case by case  Currently discussing Part D & HP

16. ViiV PATIENT ASSISTANCE PROGRAM (PAP) ViiV (Formerly GSK & Pfizer):  500% of FPL  $4,788 per month/$57,450 per year  Underinsured: Part D co-pays only  Participates with Welvista & HP

17. ABBVIE CO-PAY PROGRAM  Covers first $50 of Norvir  Covers first $200 of Kaletra  Online & healthcare providers

18. BI CO-PAY PROGRAM  Coverage after the first $25 paid  Covers Viramune XR, not IR  Does not cover Aptivus  Providers, ASOs and pharmacies

19. BMS CO-PAY PROGRAM  Covers first $200 Reyataz/Sustiva  Covers first $400 for Atripla/Gilead  Online or healthcare providers

20. GENENTECH HIV AND HCV CO-PAY PROGRAM  No official co-pay program  Donations to Non-Profit Foundations  Depending on Availability of Funds  Private Insurance Patients  Medicare Part D Patients

21. GILEAD CO-PAY PROGRAM  Covers first $400 for Atripla, Complera and Emtriva  Covers first $200 for Emtriva, Truvada and Viread  Providers, ASOs, pharmacies

22. JANSSEN CO-PAY PROGRAM  Coverage after first $5 paid  Prezista, Intelence, Edurant  Coverage unlimited thereafter  Online or healthcare provider

23. MERCK HIV & HCV CO-PAY PROGRAM  Covers first $400 for Isentress  Covers first $200 for PegIntron  20% of 12 Rxs/44 weeks of Victrelis  Online or healthcare provider

24. VERTEX CO-PAY PROGRAM  HCV only  $10,000 for Incivek  No income limit  Vertex or pharmacies

25. ViiV CO-PAY PROGRAM ViiV (Formerly GSK & Pfizer):  Covers first $200  Online or healthcare provider  Must re-enroll for 2013

26. FAIR PRICING COALITION fairpricingcoalition.org Bill Arnold Paul AronsBruce Burkett Jeff Berry Ryan ClaryLanny CrossLynda DeeDavid Evans Murray PennerMichael Ninburg Murray Penner Lorren Sandt