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Savings
         Community Assistance Program (CAP)
                  Making Healthcare More Affordable


               A free resource to help un-insured and under-
                  insured consumers save money on their
                         prescription medications.



               Presented By:
                          Robert L Hill, Regional Outreach Coordinator
                              National Benefit Builders, Inc (CAP)
                                     Ph #: (813)885-6841
                                 URL: http://www.caprxprogram.org/4me

  Discount Drug Card. This is not insurance.                       1
DO YOU, OR DOES SOMEONE YOU KNOW, USE
PRESCRIPTION MEDICATIONS?

   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 15 - 55% on your prescription
  medications?

   If the program was provided at no charge, would it interest you?




                                                                  2
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 the highest 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 $250 million in drug costs.
          CAP never charges for any of these outreach services!
                                                                      3
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.
     It’s that easy.


                                                      4
Benefits: CAP Prescription Discount Card



          Absolutely FREE! No cost, No charge, No enrollment, No
          membership, No restrictions or qualifications. Anyone can
          use it.

          The card is pre-activated and can be used over and over
          again. It 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.
                                                                         5
What are the benefits of the Community
Assistance Program (CAP) Rx savings card?

  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.

                 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: Spanish, Arabic, Armenian, Cambodian, Creole, Farsi, French,
                 Hmong, Korean, Kurdish, Chinese, Polish, Russian, Somali, Tagalog, Vietnamese, Yiddish and other
                 languages.
                                                                                                                6
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 http://www.caprxprogram.org/4me and click on
                                 “Pharmacy Lookup”
                                                                                     7
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 as many as 38% of Medicare recipients lack prescription
     drug coverage.



                                                                     8
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.

                                                                   9
How will someone using a CAP Rx savings card
know if they’re getting a discount?

                 With CAP, an Rx savings card user can go
               to http://www.caprxprogram.org/4me and
               see what the price of the drug is at their local
               pharmacy.
                  The Rx savings card user can ask the
               pharmacist at the time of purchase how much
               of a discount they received using the card.




                                                             10
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.


                                                   11
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.




                                                             12
Some ways a CAP Rx savings card can be used
with insurance.
     The program works even if a CAP Rx card user has 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.

                                                                           13
Additional tools Available to help your patients…




       CAN’T AFFORD TO PAY FOR YOUR MEDICATION
              EVEN WITH A DISCOUNT CARD?




                                                    14
Eligibility Requirements
   250% above Federal Poverty Levels
   Have NO current prescription coverage
   Medication must be in Program
   Must be a US Citizen



                                           15
16
Additional tools to help you…
To locate pharmacies that accept the CAP Rx savings card, follow these steps:


        1. Go to www.caprxprogram.org/4me (Must type into address bar at top of screen);
        2. Click on the Drug Pricing and Pharmacy Look Up link button on the Home Page;
        3. Click on Pharmacy Locator as shown here:


                        You will come to a website similar to the image below…
   (Enter city and state or just the zip code of the pharmacies you wish to search as shown below and click the “Go” button)




                                                                                             (Go to following slide for search results)
                                                                                                                                 17
…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 the zip code or the name of a
                                      pharmacy with the city & state and/or zip code.
                                                                                                                   18
To price medications with the CAP Rx savings card discount included, follow these steps:




           1. www.caprxprogram.org/4me (Must type into address bar at top of screen)

          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)
                                                                                                         19
…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)   20
Here are the Rx Pricing results for Zocor at a ShopRite Pharmacy…(as of Jan. 2012)
Zocor 10 mg Tablet is $104.79 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.




                                                                                                                     21
                                                                    (see following slide for Walgreens Rx pricing)
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, it’s 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.        22
Sample Prescription Savings - Brand
                                                 PHYSICIAN                            RETAIL      CARD       $         %
MEDICATION                                       SPECIALTY     PURPOSE                 COST       COST*    SAVINGS   SAVINGS   STATE
VICODIN – 500 MG TABLETS            PAIN MANAGEMENT            PAIN RELIEVER          $53.99      $46.37    $7.62      16       NY
PERCOCET 325 - MG TABLETS           PAIN MANAGEMENT            PAIN RELIEVER          $108.53     $91.98   $16.55      18       AR
CELEBREX – 200 MG CAPSULES          PAIN MANAGEMENT            ARTHRITIS, ANTI-       $160.99    $136.04   $24.95      15       MS
                                                               INFLAMMATORY
LIPITOR – 80 MG TABLETS             CARDIOLOGY                 CHOLESTEROL            $199.00     169.24   $29.76      17       NJ
ZESTRIL – 30 MG TABLETS             CARDIOLOGY                 BLOOD PRESSURE         $82.89      $71.46   $11.43      16       MI
COUMADIN – 5 MG TABLETS             CARDIOLOGY                 BLOOD THINNER          $57.69      $45.76   $11.93      20       LA
NEURONTIN – 100 MG CAPSULES         NEUROLOGY/PSYCHIATRY       SEIZURE, ANXIETY       $79.99      $67.19   $15.80      19       FL
KLONOPIN – 2 MG TABLETS             NEUROLOGY/PSYCHIATRY       SEIZURE, ANXIETY       $101.20     $86.50   $14.70      17       NC
XANAX – 2 MG TABLETS                NEUROLOGY                  ANXIETY. PANIC         $139.99    $123.36   $16.63      12       NY
LYRICA – 150 MG TABLETS             NEUROLOGY                  ANTICONVULSANT         $109.00     $86.56   $22.44      21       MS
SEROQUEL – 100 MG TABLETS           PSYCHIATRY                 SCHIZOPHRENIA,         $231.19    $184.04   $47.15      20       MN
                                                               BIPOLAR
ZOLOFT – 50 MG TABLETS              PSYCHIATRY/OBGYN           DEPRESSION, ANXIETY    $148.25    $127.67   $20.58      14       AZ


PAXIL – 20 MG TABLETS               PSYCHIATRY                 ANXIETY, DEPRESSION    $143.00    $121.80   $21.20      15       NJ


CYMBALTA – 20 MG CAPSULES           PSYCHIATRY                 ANXIETY, DEPRESSION    $185.80    $152.07   $33.73      18       AL


NEXIUM – 20 MG CAPSULES             GASTROENTEROLOGY           ACID REFLUX            $227.50    $190.14   $37.36      16       MS
GLUCOPHAGE – 500 MG TABLETS         ENDOCRINOLOGY/OBGYN        INSULIN RESISTANCE/    $110.58     $93.54   $17.04      15       IN
                                                               INFERTILITY


BONIVA – 150 MG TABLET              OB/GYN                     OSTEOPOROSIS           $165.00    $133.07   $31.93      19       NY
AUGMENTIN – 875 MG TABLETS          PEDIATRICS                 INFECTION              $239.49    $206.88   $32.61      14       NY
CEFTIN – 250 MG TABLETS             PEDIATRICS                 INFECTION              $350.39    $309.00   $41.39      12       FL
ALLEGRA-D 24 HR. TABLETS            ENT/FAMILY PRACTICE        ALLERGY                $179.10    $139.75   $39.35      22       PA
ZITHROMAX – 250 MG TABLETS          FAMILY PRACTICE            INFECTION              $376.50   $327.17    $49.33      13       MD
YASMIN 25 – TABLETS                 OBGYN                      CONTRACEPTIVE          $145.50     $95.80   $49.70      34       NJ

FLOMAX - .4 MG CAPSULES             UROLOGY                    MUSCLE RELAXER         $163.00    $143.75   $19.25      12       NY
                                                               PROSTATE
VIAGRA – 50 MG TABLETS              UROLOGY                    ERECTILE DYSFUNCTION   $105.00     $86.04   $13.96      18       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.
                                                                                                                                 23
Sample Prescription Savings - Generics
                                              PHYSICIAN                          RETAIL    CARD       $         %
MEDICATION                                    SPECIALTY   PURPOSE                 COST     COST*    SAVINGS   SAVINGS   STATE
HYDROCODONE - 1 BOTTLE 473 ML    PAIN MANAGEMENT          PAIN RELIEVER          $60.98    $28.06   $31.94      52       NY
ENDOCET 325 - MG TABLETS         PAIN MANAGEMENT          PAIN RELIEVER          $34.99    $16.17   $18.82      54       AR
SIMVASTATIN – 80 MG TABLETS      CARDIOLOGY               CHOLESTEROL            $35.99    $12.00   $23.99      67       NJ
LISINOPRIL – 20 MG TABLETS       CARDIOLOGY               BLOOD PRESSURE         $21.99    $8.81    $13.18      60       MI
LOVASTATIN – 40 MG TABLETS       CARDIOLOGY               CHOLESTEROL            $35.99    $11.46   $24.53      68       LA
METOPROLOL – 50 MG TABLETS       CARDIOLOGY               ANGINA, HYPERTENSION   $46.30    $7.73    $38.57      83       MN


GABAPENTIN – 100 MG CAPSULES     NEUROLOGY/PSYCHIATRY     SEIZURE, ANXIETY       $81.99    $21.33   $60.66      74       FL
CLONAZEPAM – 2 MG TABLETS        NEUROLOGY/PSYCHIATRY     SEIZURE, ANXIETY       $105.99   $11.79   $94.20      89       NC
ALPRAZOLAM – XR 2 MG TABLETS     NEUROLOGY                ANXIETY. PANIC         $75.99    $24.68   $51.31      67       NY
DIAZEPAM – 5 MG TABLETS          NEUROLOGY/PSYCHIATRY/    ANXIETY, SEIZURES      $30.19    $7.40    $22.79      75       NJ
                                 FAMILY PRACTICE

FLUVOXAMINE – 100 MG TABLETS     PSYCHIATRY               DEPRESSION, OCD        $132.99   $25.27   $107.72     81       AL
SERTRALINE – 100 MG TABLETS      PSYCHIATRY/OBGYN         DEPRESSION, ANXIETY    $85.89    $9.43    $76.46      89       AZ


FLUXOETINE – 20 MG CAPSULES      PSYCHIATRY               ANXIETY, DEPRESSION    $84.00    $8.07    $75.93      94       NJ


CLARITHOMYCIN – 250 MG TABLETS   GASTROENTEROLOGY         INFECTION              $109.99   $30.25   $79.74      72       MS
OMEPRAZOLE DR – 20 MG CAPSULES   GASTROENTEROLOGY         ACID REFLUX            $72.99    $12.29   $60.70      83       NY
METFORMIN – 850 MG TABLETS       ENDOCRINOLOGY/OBGYN      INSULIN RESISTANCE/    $51.99    $8.88    $43.11      83       IN
                                                          INFERTILITY



ALENDRONATE – 10 MG TABLETS      OB/GYN                   OSTEOPOROSIS           $240.00   $29.13   $210.87     88       NY
AMOXICILLIN – 500 MG CAPSULES    PEDIATRICS               INFECTION              $49.99    $16.24   $33.75      68       NY
CLINDAMYCIN – 150 MG CAPSULES    PEDIATRICS               INFECTION              $79.99    $10.89   $69.10      86       FL
CEPHALEXIN – 500 MG CAP          PEDIATRICS               INFECTION              $49.88    $12.81   $37.07      74       GA
ALBUTEROL – 0.083% 75 ML         ENT                      ASTHMA, MUSCLE         $51.89    $12.79   $39.10      75       NY
                                                          RELAXANT

FEXOFENADINE – 180 MG TABLETS    ENT/FAMILY PRACTICE      ALLERGY,               $96.48    $39.37   $57.11      56       PA
AZITHROMYCIN – 250 MG TABLETS    FAMILY PRACTICE          INFECTION              $95.28    $42.08   $53.20      56       CT
IBUPROFEN – 600 MG TABLETS       FAMILY PRACTICE          HEADACHE               $41.99    $9.53    $32.46      77       NY
FLUTICASONE – 50 MCG NASAL       ENT/FAMILY PRACTICE      ALLERGY                $97.45    $35.65   $61.80      63       NJ
PREDNISONE – 5 MG TABLETS        RHEUMATOLOGY             INFLAMMATION           $35.00    $6.00    $29.00      83       NY
CHANTIX – STARTER PACK 30 DAYS   PULMONARY                SMOKING CESSATION      $162.23   $96.26   $65.97      41       FL


                                                                                                                                24
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. It’s 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.


                                                                                                                     25
HealthTrans Access is Our Discount
Healthcare Service Provider Organization…

         HealthTrans was founded in 2000.
         HealthTrans processes 100 million claims annually,
         representing 15.3 million lives per year, and $4 billion in
         prescription drug spending.
         HealthTrans officials are responsible for negotiating and
         administering all of the discounts that we are able to offer.
         They are constantly seeking lower rates for the CAP card
         user and finding ways to create more product and service
         offers that will help the consumer.
         They can be located on online at
         http://www.healthtrans.com




                                                                         26
National Benefit Builders, Inc
  25B Hanover Road, Florham Park, NJ 07932
             Ph # 888-311-6224

      http://nbbihome.com




                                             27
Community Assistance Program
            Making Healthcare More Affordable

If you would like more information you can visit our website at
www.caprxprogram.org/4me or call us.

We also welcome the opportunity to speak with organizations about
fundraisers and providing additional benefits to its members and patients.

                               Robert L Hill
                  NBBI CAP Regional Outreach Coordinator
    Office Ph #: (813) 885-6841 *** Mobile/Texting Ph #: (813) 253-9799
                           Fax # (813) 925-4341
Email Address: hbgroup4u@gmail.com or one of our website Contact
Forms at:
    www.caprxprogram.org/4me or www.freeusadrugplan.com/4me

Please call or email us if you have any questions or if you would like to
receive a supply of CAP Rx savings cards for your organization.
                                                                          28

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Cap discount rx card power point presentation

  • 1. Savings Community Assistance Program (CAP) Making Healthcare More Affordable A free resource to help un-insured and under- insured consumers save money on their prescription medications. Presented By: Robert L Hill, Regional Outreach Coordinator National Benefit Builders, Inc (CAP) Ph #: (813)885-6841 URL: http://www.caprxprogram.org/4me Discount Drug Card. This is not insurance. 1
  • 2. DO YOU, OR DOES SOMEONE YOU KNOW, USE PRESCRIPTION MEDICATIONS? 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 15 - 55% on your prescription medications? If the program was provided at no charge, would it interest you? 2
  • 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 the highest 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 $250 million in drug costs. CAP never charges for any of these outreach services! 3
  • 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. It’s that easy. 4
  • 5. Benefits: CAP Prescription Discount Card Absolutely FREE! No cost, No charge, No enrollment, No membership, No restrictions or qualifications. Anyone can use it. The card is pre-activated and can be used over and over again. It 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. 5
  • 6. What are the benefits of the Community Assistance Program (CAP) Rx savings card? 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. 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: Spanish, Arabic, Armenian, Cambodian, Creole, Farsi, French, Hmong, Korean, Kurdish, Chinese, Polish, Russian, Somali, Tagalog, Vietnamese, Yiddish and other languages. 6
  • 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 http://www.caprxprogram.org/4me and click on “Pharmacy Lookup” 7
  • 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 as many as 38% of Medicare recipients lack prescription drug coverage. 8
  • 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. 9
  • 10. How will someone using a CAP Rx savings card know if they’re getting a discount? With CAP, an Rx savings card user can go to http://www.caprxprogram.org/4me and see what the price of the drug is at their local pharmacy. The Rx savings card user can ask the pharmacist at the time of purchase how much of a discount they received using the card. 10
  • 11. 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. 11
  • 12. 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. 12
  • 13. Some ways a CAP Rx savings card can be used with insurance. The program works even if a CAP Rx card user has 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. 13
  • 14. Additional tools Available to help your patients… CAN’T AFFORD TO PAY FOR YOUR MEDICATION EVEN WITH A DISCOUNT CARD? 14
  • 15. Eligibility Requirements 250% above Federal Poverty Levels Have NO current prescription coverage Medication must be in Program Must be a US Citizen 15
  • 16. 16
  • 17. Additional tools to help you… To locate pharmacies that accept the CAP Rx savings card, follow these steps: 1. Go to www.caprxprogram.org/4me (Must type into address bar at top of screen); 2. Click on the Drug Pricing and Pharmacy Look Up link button on the Home Page; 3. Click on Pharmacy Locator as shown here: You will come to a website similar to the image below… (Enter city and state or just the zip code of the pharmacies you wish to search as shown below and click the “Go” button) (Go to following slide for search results) 17
  • 18. …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 the zip code or the name of a pharmacy with the city & state and/or zip code. 18
  • 19. To price medications with the CAP Rx savings card discount included, follow these steps: 1. www.caprxprogram.org/4me (Must type into address bar at top of screen) 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) 19
  • 20. …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) 20
  • 21. Here are the Rx Pricing results for Zocor at a ShopRite Pharmacy…(as of Jan. 2012) Zocor 10 mg Tablet is $104.79 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. 21 (see following slide for Walgreens Rx pricing)
  • 22. 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, it’s 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. 22
  • 23. Sample Prescription Savings - Brand PHYSICIAN RETAIL CARD $ % MEDICATION SPECIALTY PURPOSE COST COST* SAVINGS SAVINGS STATE VICODIN – 500 MG TABLETS PAIN MANAGEMENT PAIN RELIEVER $53.99 $46.37 $7.62 16 NY PERCOCET 325 - MG TABLETS PAIN MANAGEMENT PAIN RELIEVER $108.53 $91.98 $16.55 18 AR CELEBREX – 200 MG CAPSULES PAIN MANAGEMENT ARTHRITIS, ANTI- $160.99 $136.04 $24.95 15 MS INFLAMMATORY LIPITOR – 80 MG TABLETS CARDIOLOGY CHOLESTEROL $199.00 169.24 $29.76 17 NJ ZESTRIL – 30 MG TABLETS CARDIOLOGY BLOOD PRESSURE $82.89 $71.46 $11.43 16 MI COUMADIN – 5 MG TABLETS CARDIOLOGY BLOOD THINNER $57.69 $45.76 $11.93 20 LA NEURONTIN – 100 MG CAPSULES NEUROLOGY/PSYCHIATRY SEIZURE, ANXIETY $79.99 $67.19 $15.80 19 FL KLONOPIN – 2 MG TABLETS NEUROLOGY/PSYCHIATRY SEIZURE, ANXIETY $101.20 $86.50 $14.70 17 NC XANAX – 2 MG TABLETS NEUROLOGY ANXIETY. PANIC $139.99 $123.36 $16.63 12 NY LYRICA – 150 MG TABLETS NEUROLOGY ANTICONVULSANT $109.00 $86.56 $22.44 21 MS SEROQUEL – 100 MG TABLETS PSYCHIATRY SCHIZOPHRENIA, $231.19 $184.04 $47.15 20 MN BIPOLAR ZOLOFT – 50 MG TABLETS PSYCHIATRY/OBGYN DEPRESSION, ANXIETY $148.25 $127.67 $20.58 14 AZ PAXIL – 20 MG TABLETS PSYCHIATRY ANXIETY, DEPRESSION $143.00 $121.80 $21.20 15 NJ CYMBALTA – 20 MG CAPSULES PSYCHIATRY ANXIETY, DEPRESSION $185.80 $152.07 $33.73 18 AL NEXIUM – 20 MG CAPSULES GASTROENTEROLOGY ACID REFLUX $227.50 $190.14 $37.36 16 MS GLUCOPHAGE – 500 MG TABLETS ENDOCRINOLOGY/OBGYN INSULIN RESISTANCE/ $110.58 $93.54 $17.04 15 IN INFERTILITY BONIVA – 150 MG TABLET OB/GYN OSTEOPOROSIS $165.00 $133.07 $31.93 19 NY AUGMENTIN – 875 MG TABLETS PEDIATRICS INFECTION $239.49 $206.88 $32.61 14 NY CEFTIN – 250 MG TABLETS PEDIATRICS INFECTION $350.39 $309.00 $41.39 12 FL ALLEGRA-D 24 HR. TABLETS ENT/FAMILY PRACTICE ALLERGY $179.10 $139.75 $39.35 22 PA ZITHROMAX – 250 MG TABLETS FAMILY PRACTICE INFECTION $376.50 $327.17 $49.33 13 MD YASMIN 25 – TABLETS OBGYN CONTRACEPTIVE $145.50 $95.80 $49.70 34 NJ FLOMAX - .4 MG CAPSULES UROLOGY MUSCLE RELAXER $163.00 $143.75 $19.25 12 NY PROSTATE VIAGRA – 50 MG TABLETS UROLOGY ERECTILE DYSFUNCTION $105.00 $86.04 $13.96 18 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. 23
  • 24. Sample Prescription Savings - Generics PHYSICIAN RETAIL CARD $ % MEDICATION SPECIALTY PURPOSE COST COST* SAVINGS SAVINGS STATE HYDROCODONE - 1 BOTTLE 473 ML PAIN MANAGEMENT PAIN RELIEVER $60.98 $28.06 $31.94 52 NY ENDOCET 325 - MG TABLETS PAIN MANAGEMENT PAIN RELIEVER $34.99 $16.17 $18.82 54 AR SIMVASTATIN – 80 MG TABLETS CARDIOLOGY CHOLESTEROL $35.99 $12.00 $23.99 67 NJ LISINOPRIL – 20 MG TABLETS CARDIOLOGY BLOOD PRESSURE $21.99 $8.81 $13.18 60 MI LOVASTATIN – 40 MG TABLETS CARDIOLOGY CHOLESTEROL $35.99 $11.46 $24.53 68 LA METOPROLOL – 50 MG TABLETS CARDIOLOGY ANGINA, HYPERTENSION $46.30 $7.73 $38.57 83 MN GABAPENTIN – 100 MG CAPSULES NEUROLOGY/PSYCHIATRY SEIZURE, ANXIETY $81.99 $21.33 $60.66 74 FL CLONAZEPAM – 2 MG TABLETS NEUROLOGY/PSYCHIATRY SEIZURE, ANXIETY $105.99 $11.79 $94.20 89 NC ALPRAZOLAM – XR 2 MG TABLETS NEUROLOGY ANXIETY. PANIC $75.99 $24.68 $51.31 67 NY DIAZEPAM – 5 MG TABLETS NEUROLOGY/PSYCHIATRY/ ANXIETY, SEIZURES $30.19 $7.40 $22.79 75 NJ FAMILY PRACTICE FLUVOXAMINE – 100 MG TABLETS PSYCHIATRY DEPRESSION, OCD $132.99 $25.27 $107.72 81 AL SERTRALINE – 100 MG TABLETS PSYCHIATRY/OBGYN DEPRESSION, ANXIETY $85.89 $9.43 $76.46 89 AZ FLUXOETINE – 20 MG CAPSULES PSYCHIATRY ANXIETY, DEPRESSION $84.00 $8.07 $75.93 94 NJ CLARITHOMYCIN – 250 MG TABLETS GASTROENTEROLOGY INFECTION $109.99 $30.25 $79.74 72 MS OMEPRAZOLE DR – 20 MG CAPSULES GASTROENTEROLOGY ACID REFLUX $72.99 $12.29 $60.70 83 NY METFORMIN – 850 MG TABLETS ENDOCRINOLOGY/OBGYN INSULIN RESISTANCE/ $51.99 $8.88 $43.11 83 IN INFERTILITY ALENDRONATE – 10 MG TABLETS OB/GYN OSTEOPOROSIS $240.00 $29.13 $210.87 88 NY AMOXICILLIN – 500 MG CAPSULES PEDIATRICS INFECTION $49.99 $16.24 $33.75 68 NY CLINDAMYCIN – 150 MG CAPSULES PEDIATRICS INFECTION $79.99 $10.89 $69.10 86 FL CEPHALEXIN – 500 MG CAP PEDIATRICS INFECTION $49.88 $12.81 $37.07 74 GA ALBUTEROL – 0.083% 75 ML ENT ASTHMA, MUSCLE $51.89 $12.79 $39.10 75 NY RELAXANT FEXOFENADINE – 180 MG TABLETS ENT/FAMILY PRACTICE ALLERGY, $96.48 $39.37 $57.11 56 PA AZITHROMYCIN – 250 MG TABLETS FAMILY PRACTICE INFECTION $95.28 $42.08 $53.20 56 CT IBUPROFEN – 600 MG TABLETS FAMILY PRACTICE HEADACHE $41.99 $9.53 $32.46 77 NY FLUTICASONE – 50 MCG NASAL ENT/FAMILY PRACTICE ALLERGY $97.45 $35.65 $61.80 63 NJ PREDNISONE – 5 MG TABLETS RHEUMATOLOGY INFLAMMATION $35.00 $6.00 $29.00 83 NY CHANTIX – STARTER PACK 30 DAYS PULMONARY SMOKING CESSATION $162.23 $96.26 $65.97 41 FL 24
  • 25. 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. It’s 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. 25
  • 26. HealthTrans Access is Our Discount Healthcare Service Provider Organization… HealthTrans was founded in 2000. HealthTrans processes 100 million claims annually, representing 15.3 million lives per year, and $4 billion in prescription drug spending. HealthTrans officials are responsible for negotiating and administering all of the discounts that we are able to offer. They are constantly seeking lower rates for the CAP card user and finding ways to create more product and service offers that will help the consumer. They can be located on online at http://www.healthtrans.com 26
  • 27. National Benefit Builders, Inc 25B Hanover Road, Florham Park, NJ 07932 Ph # 888-311-6224 http://nbbihome.com 27
  • 28. Community Assistance Program Making Healthcare More Affordable If you would like more information you can visit our website at www.caprxprogram.org/4me or call us. We also welcome the opportunity to speak with organizations about fundraisers and providing additional benefits to its members and patients. Robert L Hill NBBI CAP Regional Outreach Coordinator Office Ph #: (813) 885-6841 *** Mobile/Texting Ph #: (813) 253-9799 Fax # (813) 925-4341 Email Address: hbgroup4u@gmail.com or one of our website Contact Forms at: www.caprxprogram.org/4me or www.freeusadrugplan.com/4me Please call or email us if you have any questions or if you would like to receive a supply of CAP Rx savings cards for your organization. 28