1. Pharmacoeconomics 101: How to Beat the High Cost of Prescription Medications – Resources for you and Your Patients Mark Cucuzzella MD FAAFP (West Virginia University) Heather Congdon, PharmD (University of Maryland)

2. The Old Timey Mountains Potomac R Shenandoah R Maryland W. Virginia Virginia FM

3. “ The education of a man (or woman if Lee were around in 2006) is never completed until he dies” Robert E. Lee

37. What are these seniors doing? Hint….they are from Minnesota

38. Data from AARP

39. Data from AARP

41. Slicing Medications $0.41 $327.47 80 mg $0.81 $323.47 40 mg $1.61 $322.27 20 mg $2.32 $232.07 10 mg Price per 10 mg Dose Price per 100 Tablets Lipitor Dose

43. The Slicing Bible

45. Same Class Medications -Nonsedating Antihistamines $60.19 Cetirizine Zyrtec $20.33 Loratadine Claritin $65.67 Desloratadine Clarinex $67.29 Fexofenadine Allegra Monthly Cost Generic Name Brand Name

46. Getting the Government to Help Your Patients Cartoon may be true when it comes to IT….. but the Gov’t can get cheap drugs

51. The BIG Picture- Medicare and Medicaid

53. A 52 y.o. male presents to a family medicine clinic for a physical after not seeing his physician for 10 years. In the past, his employer did not provide health benefits, however, they recently started doing so. As part of his physical, he was given a lab slip for blood work and was found to have diabetes (FBG 350) and hyperlipidemia (LDL 145; trigs 700), and also was found to have a blood pressure of 156/96. Patient was given Rx’s for Avandamet 2/500 bid, Altace 5mg qd and Lipitor 20mg qd. Patient then goes to pick up his prescriptions at the local Walgreens and the total amount is $293 Although patient has recently received health benefits, his employer does not provide prescription coverage. How can we help this patient?

55. Click here to begin

56. Select “L”, then Lipitor

57. Click here to link directly to application

59. Requires account

63. Click Here Click here

65. Rx outreach income requirements

66. Income requirements

69. Happy Days or a Big Mystery?

71. Medicare Part D 2007 Phase 3 : YOU PAY $2.15 FOR EACH GENERIC, OR $5.35 FOR EACH BRAND NAME, OR 5% OF THE TOTAL OF EACH PRESCRIPTION, WHICHEVER IS THE HIGHER NUMBER. EXAMPLE: A $200 DRUG COSTS YOU $10.00. THIS 5% ARRANGEMENT CONTINUES ONLY UNTIL DECEMBER 31, 2007

74. Help for People with Limited Income and Resources Apply for extra help through social security office: www.socialsecurity.gov 1-800-772-1213

80. The End