1. MedImpact Direct™ March 12, 2015 Bill Barre
Vice President, Business Development
Don (DJ) Dean
Director of Pharmacy Operations
Verona Macdonell
Marketing Communications Consultant
March 12, 2015
Introduction
DJ Dean is responsible for all dispensing operations and is the person to contact for any problems or issues.
Provide phone and contact information.
Pharmacy staff can be contacted by phone or . There is an answering service for urgent issues after hours 24/7.
Friendly, Flexible, and Fast Goal

2. Agenda Overview Prescription Routing Engine to Unique Network Services
Consumer Engagement & Portal
Opportunities: Interactive Discussion

3. Unique Pharmacy Network & Rx Routing
Configurable routing engine directs prescriptions
All Rxs routed via one source to multiple channels
In-house pharmacy
Specialty
Mail
Retail
Limited Distribution Drugs (LDD)
Route Rx to the right pharmacy for:
Prescriptions directed to lowest-cost provider through configurable routing engine
Specific drug/disease based on expertise
Appropriate consumer-specific clinical services

4. Considerations for Consumer Needs
Consultation
Fulfillment
Specialized clinical services
Consumer preference
Delivery
Pick up at retail
In-house pharmacy
ENHANCE CONSUMER EXPERIENCE
Simplicity & Access
POPULATION MANAGEMENT
Proven Outcomes

5. Why this model?
Enables prescriptions to be directed to in-house pharmacy
Maximize GPO pricing
Keep utilization and revenue in house
Minimizes switching costs if therapy needs rerouting for cost savings
Drives competitive pricing among multiple vendors
Allows dispense and consult only for those not in need of specialized clinical management to reduce costs

6. Why this model?
Reduces confusion: Single point of contact for fulfillment
Manage high-touch consumer experience
Identify where to remove costs
Ensure clean Rx
Manage intake
Multiple vendors/options
Lowest cost
Best-in-class clinical services where needed
Specialized fulfillment/delivery requirements

7. Process: Consumer Initiated Prescription
Prescriber
Consumer
E-Prescribing
Fax
Phone
MedImpact Direct Ops
Phone
Mail
Consumer Portal
MedImpact Direct Platform
Process
Member Bill
Analyze
Route
Pharmacy A
Pharmacy B
Today, I will be using these updated workflow visuals throughout the presentation. They provide a more accurate representation of the mail service workflow we will be launching with.
Key points:
Prescription requests come into MID in multiple ways, and we are categorizing these into two buckets – Prescriber initiated and Consumer initiated.
Consumer initiated will be processes immediately
Prescriber initiated will trigger an additional workflow step where MID will make contact with consumer to ensure they would like us to process the request
Similar to the way Autofill procedures have caused a lot of unwanted prescriptions to be filled, some mail order facilities report over 1/3 of all Prescriber initiated prescriptions may be unwanted.
Ensuring the consumer wants these RXs and understands coverage and co-pay costs will minimize the overutilization of filling unneeded RXs.
Short term, our Pharmacy staff will contact consumers
Longer-term, mail pharmacies have used , and robo-calls to screen out unneeded prescription fills.
Walk through the intake flows and explain the difference between intakes that go directly to MID platform vs those that need human intervention at initial contact (call out benefit of IVR system of future which will improve operational efficiency)
Provide high level overview of the operational steps (process, member billing, analysis / rx flow rules, and final step of routing once rules engine determine best fulfillment partner.
What is a “Clean RX” – member is eligible, member mailing address is verified, formulary rules met, confidence that customer wants the RX. (we are taking responsibility for customer issues related to copay billing and returned RXs as long as fulfillment pharmacy accurately follows our transmitted instructions)
Clean RX
Pharmacy C

8. Process: Prescriber Initiated Prescription
Consumer
E-Prescribing
Fax
Phone
MedImpact Direct Ops
Phone
Mail
Consumer Portal
MedImpact Direct Platform
Process
Member Bill
Analyze
Route
Pharmacy A
Pharmacy B
Today, I will be using these updated workflow visuals throughout the presentation. They provide a more accurate representation of the mail service workflow we will be launching with.
Key points:
Prescription requests come into MID in multiple ways, and we are categorizing these into two buckets – Prescriber initiated and Consumer initiated.
Consumer initiated will be processes immediately
Prescriber initiated will trigger an additional workflow step where MID will make contact with consumer to ensure they would like us to process the request
Similar to the way Autofill procedures have caused a lot of unwanted prescriptions to be filled, some mail order facilities report over 1/3 of all Prescriber initiated prescriptions may be unwanted.
Ensuring the consumer wants these RXs and understands coverage and co-pay costs will minimize the overutilization of filling unneeded RXs.
Short term, our Pharmacy staff will contact consumers
Longer-term, mail pharmacies have used , and robo-calls to screen out unneeded prescription fills.
Walk through the intake flows and explain the difference between intakes that go directly to MID platform vs those that need human intervention at initial contact (call out benefit of IVR system of future which will improve operational efficiency)
Provide high level overview of the operational steps (process, member billing, analysis / rx flow rules, and final step of routing once rules engine determine best fulfillment partner.
What is a “Clean RX” – member is eligible, member mailing address is verified, formulary rules met, confidence that customer wants the RX. (we are taking responsibility for customer issues related to copay billing and returned RXs as long as fulfillment pharmacy accurately follows our transmitted instructions)
Clean RX
Pharmacy C

9. MedImpact Direct Processing
Prescriber
Consumer
E-Prescribing
Fax
Phone
MedImpact Direct Ops
Phone
Mail
Consumer Portal
MedImpact Direct Platform
Process
Member Bill
Analyze
Route
Pharmacy A
Pharmacy B
Today, I will be using these updated workflow visuals throughout the presentation. They provide a more accurate representation of the mail service workflow we will be launching with.
Key points:
Prescription requests come into MID in multiple ways, and we are categorizing these into two buckets – Prescriber initiated and Consumer initiated.
Consumer initiated will be processes immediately
Prescriber initiated will trigger an additional workflow step where MID will make contact with consumer to ensure they would like us to process the request
Similar to the way Autofill procedures have caused a lot of unwanted prescriptions to be filled, some mail order facilities report over 1/3 of all Prescriber initiated prescriptions may be unwanted.
Ensuring the consumer wants these RXs and understands coverage and co-pay costs will minimize the overutilization of filling unneeded RXs.
Short term, our Pharmacy staff will contact consumers
Longer-term, mail pharmacies have used , and robo-calls to screen out unneeded prescription fills.
Walk through the intake flows and explain the difference between intakes that go directly to MID platform vs those that need human intervention at initial contact (call out benefit of IVR system of future which will improve operational efficiency)
Provide high level overview of the operational steps (process, member billing, analysis / rx flow rules, and final step of routing once rules engine determine best fulfillment partner.
What is a “Clean RX” – member is eligible, member mailing address is verified, formulary rules met, confidence that customer wants the RX. (we are taking responsibility for customer issues related to copay billing and returned RXs as long as fulfillment pharmacy accurately follows our transmitted instructions)
Clean RX
Pharmacy C

10. Dispensing Pharmacy Fulfillment
Consumer
Consumer Portal
Delivery
Communicate
Communicate
Bill PBM
Dispensing Pharmacy
All Consumer touch points during the processing, filling, shipping, and delivery of RX are controlled by MID
Fulfillment pharmacies provide updates to MID, MID communicates to consumer
MID Patient portal provides realtime updates to consumer so they always know where there order is in the process.
Delivered RX labeling, Invoice/packing slips, controlled through our Fulfillment guidelines and ongoing QC certification process.

11. Routing to Dispensing Pharmacy Partners
Prescriber
Consumer
E-Prescribing
Fax
Phone
MedImpact Direct Ops
Phone
Mail
Consumer Portal
MedImpact Direct Platform
Process
Member Bill
Analyze
Route
Pharmacy A
Pharmacy B
Today, I will be using these updated workflow visuals throughout the presentation. They provide a more accurate representation of the mail service workflow we will be launching with.
Key points:
Prescription requests come into MID in multiple ways, and we are categorizing these into two buckets – Prescriber initiated and Consumer initiated.
Consumer initiated will be processes immediately
Prescriber initiated will trigger an additional workflow step where MID will make contact with consumer to ensure they would like us to process the request
Similar to the way Autofill procedures have caused a lot of unwanted prescriptions to be filled, some mail order facilities report over 1/3 of all Prescriber initiated prescriptions may be unwanted.
Ensuring the consumer wants these RXs and understands coverage and co-pay costs will minimize the overutilization of filling unneeded RXs.
Short term, our Pharmacy staff will contact consumers
Longer-term, mail pharmacies have used , and robo-calls to screen out unneeded prescription fills.
Walk through the intake flows and explain the difference between intakes that go directly to MID platform vs those that need human intervention at initial contact (call out benefit of IVR system of future which will improve operational efficiency)
Provide high level overview of the operational steps (process, member billing, analysis / rx flow rules, and final step of routing once rules engine determine best fulfillment partner.
What is a “Clean RX” – member is eligible, member mailing address is verified, formulary rules met, confidence that customer wants the RX. (we are taking responsibility for customer issues related to copay billing and returned RXs as long as fulfillment pharmacy accurately follows our transmitted instructions)
Clean RX
Pharmacy C

12. Unique Network and Specialized Fulfillment
Mail Order Pharmacy A
Mail Order Pharmacy B
Mail
Mail Order Pharmacy C
Specialty Pharmacy A
Specialty Pharmacy B
Clinical Services
Specialty
Mail Order Pharmacy A
GPO
Mail Order Pharmacy B
Generic Drug
Specialty Pharmacy A
Clean RX
In-house Pharmacy
Member Prefers Other
Retail Pharmacy A
Retail Pharmacy B
Pharma Direct
Retail Pharmacy A
Retail Pharmacy B
Retail
© 2015 MedImpact, Inc. All rights reserved.
Retail Pharmacy C

13. Unique Network and Specialized Fulfillment
Mail Order Pharmacy A
Mail Order Pharmacy B
Mail
Mail Order Pharmacy C
Specialty Pharmacy A
Specialty Pharmacy B
Clinical Services
Specialty
Mail Order Pharmacy A
GPO
Mail Order Pharmacy B
Generic Drug
Specialty Pharmacy A
Clean RX
In-house Pharmacy
Member Prefers Other
Retail Pharmacy A
Retail Pharmacy B
Pharma Direct
Retail Pharmacy A
Retail Pharmacy B
Retail
© 2015 MedImpact, Inc. All rights reserved.
Retail Pharmacy C

14. Unique Network and Specialized Fulfillment
Mail Order Pharmacy A
Mail Order Pharmacy B
Mail
Mail Order Pharmacy C
Specialty Pharmacy A
Specialty Pharmacy B
Clinical Services
Specialty
Mail Order Pharmacy A
GPO
Mail Order Pharmacy B
Generic Drug
Specialty Pharmacy A
Clean RX
In-house Pharmacy
Member Prefers Other
Retail Pharmacy A
Retail Pharmacy B
Pharma Direct
Retail Pharmacy A
Retail Pharmacy B
Retail
© 2015 MedImpact, Inc. All rights reserved.
Retail Pharmacy C

15. Unique Network and Specialized Fulfillment
Mail Order Pharmacy A
Mail Order Pharmacy B
Mail
Mail Order Pharmacy C
Specialty Pharmacy A
Specialty Pharmacy B
Clinical Services
Specialty
Mail Order Pharmacy A
GPO
Mail Order Pharmacy B
Generic Drug
Specialty Pharmacy A
Clean RX
In-house Pharmacy
Member Prefers Other
Retail Pharmacy A
Retail Pharmacy B
Pharma Direct
Retail Pharmacy A
Retail Pharmacy B
Retail
© 2015 MedImpact, Inc. All rights reserved.
Retail Pharmacy C

16. Unique Network and Specialized Fulfillment
Mail Order Pharmacy A
Mail Order Pharmacy B
Mail
Mail Order Pharmacy C
Specialty Pharmacy A
Specialty Pharmacy B
Clinical Services
Specialty
Mail Order Pharmacy A
GPO
Mail Order Pharmacy B
Generic Drug
Specialty Pharmacy A
Clean RX
In-house Pharmacy
Member Prefers Other
Retail Pharmacy A
Retail Pharmacy B
Pharma Direct
Retail Pharmacy A
Retail Pharmacy B
Retail
© 2015 MedImpact, Inc. All rights reserved.
Retail Pharmacy C

17. Unique Network and Specialized Fulfillment
Mail Order Pharmacy A
Mail Order Pharmacy B
Mail
Mail Order Pharmacy C
Specialty Pharmacy A
Specialty Pharmacy B
Clinical Services
Specialty
Mail Order Pharmacy A
GPO
Mail Order Pharmacy B
Generic Drug
Specialty Pharmacy A
Clean RX
In-house Pharmacy
Member Prefers Other
Retail Pharmacy A
Retail Pharmacy B
Pharma Direct
Retail Pharmacy A
Retail Pharmacy B
Retail
© 2015 MedImpact, Inc. All rights reserved.
Retail Pharmacy C

18. MedImpact Direct Experience Delivered
Consumer
Consumer Portal
Delivery
Communicate
Communicate
Bill PBM
Dispensing Pharmacy
All Consumer touch points during the processing, filling, shipping, and delivery of RX are controlled by MID
Fulfillment pharmacies provide updates to MID, MID communicates to consumer
MID Patient portal provides realtime updates to consumer so they always know where there order is in the process.
Delivered RX labeling, Invoice/packing slips, controlled through our Fulfillment guidelines and ongoing QC certification process.

19. Routing Options Directing Prescriptions to:
Specialty pharmacy providers
As a wrap
Best-in-Class by drug/disease
Dispensing and/or specialized clinical management
Lowest cost
Mail order pharmacies
Proximity to consumer
Retail pharmacies
Consumer choice
Sponsor selected
Direct manufacturer purchasing
In-house pharmacies
Grow percentage of dispensing/fulfillment
GPO vs. Volume Purchasing
Hybrid: Splitting prescriptions
Contracted GPO arrangement; OR
Generic drug to another entity

20. Overview of Services Prescription intake
Customer service and clinical consultation services
Quality assurance
Prospective DUR
Clinical interventions when appropriate or requested by member to reduce cost
Payment services
Assistance with prior authorizations and step therapy
Prescription tracking and TAT monitoring

21. MedImpact Direct Consumer Experience
This is the landing screen for our website. They can access the website directly or from the MedImpact website.
Registered members can log in and new members can register with their name, DOB, and member ID
Members who have trouble with the website can call our toll free number or us directly.
The page also has the option to download a paper enrollment that can be mailed in with their prescriptions
The member can also read additional information about our pharmacy here on these pages
Click here for MedImpact Direct website

22. View My Prescriptions
Once they have logged into the website, the member will see a list of prescriptions filled or received recently

23. View My Prescription Details
The member can click on the prescription number to see additional information about their prescription.
The status of a prescription can be tracked from this screen from receipt of new Rx to shipment and includes a tracking number when shipped.
Members also receive status update s.

24. Refill Request Screen
On this page the member can refill any prescriptions that are at least 80% used with refills remaining.
If they need an earlier fill or a renewal, they can call our pharmacy staff to request an override or new Rx if appropriate.

25. Profile Screen
Member can change password, or update address, phone number, or from this screen.

26. Payment Screen
On this screen member can update payment information.

27. Payment History Screen
On this screen members can search and view their previous payments

28. Printable Receipt
When a member clicks the “PDF” button on the previous page they can access a PDF receipt that can saved or printed. This is convenient for taxes or FSA/HSA requirements.

29. Status Update
Here is an example of a status update that is sent to members. This is the “order shipped” which includes a tracking number.

30. Questions?