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PAPs and MAPs:

  What’s working in Virginia
What is a PAP?

  Patient Assistance Program
    188 pharmaceutical manufacturers offer
    PAPs
    PAPs provide eligible patients with access
    to brand-name medications for free
    3-month supply of medicine is mailed to the
    physician’s office; some are mailed directly
    to the patient’s home address
What is a MAP?

  Medication Assistance Program
    Employs a Medication Assistance Caseworker
    (MAC) or Patient Advocate to help the patient apply
    for free medicines to treat chronic disease.
    Applications are complex, require proof of income,
    physician signatures, and differ from one company
    to the next.
    MAPs streamline the process with the use of
    computer software to produce multiple applications
    for the same patient and track delivery of the
    medication to the patient.
The Pharmacy Connection

    Software developed by VHCF to facilitate
    the ordering and tracking of medications
    through the PAPs.
    Automatically determines if patient’s income
    meets the PAP eligibility requirements
    Reduces administrative time required to
    complete multiple applications.
    Tracks application status and meds
    ordered, re-order date, and produces
    reports.
RxRelief Virginia

   RxRelief Virginia is an initiative of VHCF which
   is funded through $1.3 million appropriation of
   the General Assembly.

   28 organizations receive grants to cover the
   salaries of 39 FTE MACs serving 76 localities.

   In FY09, through RxR, approximately 108,000
   prescriptions were requested for 14,000
   patients at a wholesale value of over $43
   million.
Greater Williamsburg MAP

  The Williamsburg Community Health
  Foundation provides funding for 9 MACs in 6
  health care organizations in its service area
  (greater Williamsburg).
  VHCF administers the program.
  3 are free clinics; 1 is a CSB; 2 are FQHC’s.
  In the last fiscal year, the MACs requested
  13,560 prescriptions valued at $5.9 million for
  over 2,200 patients.
Track Record in Virginia
   157 organizations and MD offices use TPC

   In FY09, TPC generated
     298,219 requests
     46,105 patients served
     $124 million in free meds

   Comments from users:
     “Always on top of the drug info.”
     “TPC is such a great program! It saves time and energy in
     accessing the meds.”
     “Very user friendly and very comprehensive.”
Generics versus brand-name

  Prescribing generics is easy, but
  patient’s cost can mount up for multiple
  drugs.
    May be appropriate for some patients
    Available immediately with no paperwork.
  Brand-name medicine may suit the
  patient’s needs better. Physician and
  MAC consult on what is available.
Bridge Medicines

  PAP meds arrive 4 -6 weeks after
  ordered.
  Use generic or sample to bridge gap.
  Vouchers may be offered to cover the
  cost at a local pharmacy.
The future of RxRelief Virginia

   No new funding opportunities through
   VHCF’s RxRelief Virginia initiative.
   Some programs have extended their
   services to Free Clinics, CHC’s and MD
   practices in their area.
   Technical assistance in establishing a
   MAP is available by contacting Sarah
   Jane Stewart at VHCF.
Contact:

            Sarah Jane Stewart
               Coordinator
             RxRelief Virginia
     Virginia Health Care Foundation
        434-361-0331 (home office)
           sarahjane@vhcf.org

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Pharmacy Resources

  • 1. PAPs and MAPs: What’s working in Virginia
  • 2. What is a PAP? Patient Assistance Program 188 pharmaceutical manufacturers offer PAPs PAPs provide eligible patients with access to brand-name medications for free 3-month supply of medicine is mailed to the physician’s office; some are mailed directly to the patient’s home address
  • 3. What is a MAP? Medication Assistance Program Employs a Medication Assistance Caseworker (MAC) or Patient Advocate to help the patient apply for free medicines to treat chronic disease. Applications are complex, require proof of income, physician signatures, and differ from one company to the next. MAPs streamline the process with the use of computer software to produce multiple applications for the same patient and track delivery of the medication to the patient.
  • 4. The Pharmacy Connection Software developed by VHCF to facilitate the ordering and tracking of medications through the PAPs. Automatically determines if patient’s income meets the PAP eligibility requirements Reduces administrative time required to complete multiple applications. Tracks application status and meds ordered, re-order date, and produces reports.
  • 5. RxRelief Virginia RxRelief Virginia is an initiative of VHCF which is funded through $1.3 million appropriation of the General Assembly. 28 organizations receive grants to cover the salaries of 39 FTE MACs serving 76 localities. In FY09, through RxR, approximately 108,000 prescriptions were requested for 14,000 patients at a wholesale value of over $43 million.
  • 6. Greater Williamsburg MAP The Williamsburg Community Health Foundation provides funding for 9 MACs in 6 health care organizations in its service area (greater Williamsburg). VHCF administers the program. 3 are free clinics; 1 is a CSB; 2 are FQHC’s. In the last fiscal year, the MACs requested 13,560 prescriptions valued at $5.9 million for over 2,200 patients.
  • 7. Track Record in Virginia 157 organizations and MD offices use TPC In FY09, TPC generated 298,219 requests 46,105 patients served $124 million in free meds Comments from users: “Always on top of the drug info.” “TPC is such a great program! It saves time and energy in accessing the meds.” “Very user friendly and very comprehensive.”
  • 8. Generics versus brand-name Prescribing generics is easy, but patient’s cost can mount up for multiple drugs. May be appropriate for some patients Available immediately with no paperwork. Brand-name medicine may suit the patient’s needs better. Physician and MAC consult on what is available.
  • 9. Bridge Medicines PAP meds arrive 4 -6 weeks after ordered. Use generic or sample to bridge gap. Vouchers may be offered to cover the cost at a local pharmacy.
  • 10. The future of RxRelief Virginia No new funding opportunities through VHCF’s RxRelief Virginia initiative. Some programs have extended their services to Free Clinics, CHC’s and MD practices in their area. Technical assistance in establishing a MAP is available by contacting Sarah Jane Stewart at VHCF.
  • 11. Contact: Sarah Jane Stewart Coordinator RxRelief Virginia Virginia Health Care Foundation 434-361-0331 (home office) sarahjane@vhcf.org