For Internal Use Only Not to be shared with customers

Pharmaceutical IndustryPatient Support Programs

Ken McCormickNational Director

Strategic Accounts and ReimbursementTibotec Therapeutics

July 21, 2009

For Internal Use Only Not to be shared with customers

Common Programs

• Reimbursement Hotline

• Patient Assistance Program

• Patient Savings Program – Co Pays

• Together Rx

• Access2Wellness

For Internal Use Only Not to be shared with customers

Reimbursement Hotline

Tibotec Therapeutics Line – convenient toll free hotline for patients and health care providers.

The Tibotec Therapeutics Line provides reimbursement information

Benefit verification, prior authorization requirements, appeal process and procedures, alternate sources of payment

Access in to our Patient Assistance Program.

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Patient Assistance Program

Free drug to financially eligible patients One simple application

Multiple products including non HIV meds Product Shipped to Physician or

Pharmacy Card to Patient There are a number of exception

policies relative to the income eligibility IF IN DOUBT – APPLY!

For Internal Use Only Not to be shared with customers

Access2Wellness

• Single Portal to Multiple PAP Programs– Especially meds for co morbidities not

covered under ADAP

• Download application forms from product links

• Access Co Pay Programs

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Together Rx

• Multi Company Sponsored• GSK, Tibotec Therapeutics, BMS for

HIV Products• Assists patients with no insurance up to

400% of FPL who don’t qualify for ADAP or PAP

• Provides up to 30% savings• Togetherrxaccess.com

For Internal Use Only Not to be shared with customers

TT Patient Savings Program

– Eligibility• Patients in Commercial Managed Care • Income less than 500% of FPL

– What’s covered• 80% of out of pocket costs• Maximum coverage of $100 per TT product per month

– Exclusions• All Government Payor Programs

– ADAP, Medicaid, VA, Medicare Part D• Patients who live in Massachusetts

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What more can be done?

• Streamline application process

• Consolidate multiple applications

• Potential for 1 universal co pay card or 1 PAP card for participating companies– Similar to Together RX Card

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BACK UP SLIDES

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Competitive Product Programs

• No income verification , 2 year eligibility, starts at dollar one, maximum benefit $100 per GSK ARV

• Provides coverage only for copays over $50. Patient pays first $50 out ofpocket.Coverage $50 - $200 per Gilead ARV. No known income verification

• No new special co-pay program; eligible patients to use PAP if co-pay exceeds $50 Income verification reported to be loosely enforced

Eligibility <500% FPL, Coverage begins at dollar one, 80/20 coverage maximum

benefit $100 per TT ARV,

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Competitive Product Programs

• New and existing ATRIPLA patients with commercial insurance who meet certain requirements are eligible for the program, which covers up to $200/month for a full year for patients with an ATRIPLA co-pay greater than $50/month.

• People will be responsible for paying the first $50 of their co-pay. The Atripla co-pay kicks in for co-pays higher than $50 and provides up to $200 of assistance per month for one year. Thus, if someone’s current co-pay is $250 they will only be responsible for $50 going forward.

• Eligible patients can enroll by obtaining an ATRIPLA co-pay assistance card from their physician or healthcare provider.  If a healthcare provider does not have an available ATRIPLA co-pay assistance card, patients can call the toll-free number 1-866-784-3431 to receive a card in the mail.  Patients must activate the card prior to first use by calling the toll-free number and answering a few questions to verify their eligibility.  The card must be used for the first time by December 31, 2009 and the final co-pay assistance amount must be paid within 12 months of card activation. 

Atripla Program

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Competitive Product Programs

Covers copays of up to $50 a month for Kaletra. Also covers up to $50 a month for additional ARVs that are part of Kaletra containing regimen with $100 per month limit. No eligibility criteria. Program has expiration date of March 31, 2010.

The REYATAZ and SUSTIVA Co-pay Benefit Program will allow eligible patients to save up to $200 of co-pay costs monthly,for up to a year.Patients will be responsible for the first $50 of out-of-pocket costs plus any amount over $250. To begin the enrollment process, eligible patients should speak to their healthcare professional to obtain a co-pay benefit card to take to the pharmacy with their prescription.

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Number of Persons in Household

100% FPL for 2009

500% FPL for 2009

1 $10,830 $54,150

2 $14,570 $72,850

3 $18,310 $91,550

4 $22,050 $110,250

5 $25,790 $128,950

6 $29,530 $147,650

7 $33,270 $166,350

8 $37,010 $185,050

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Cost Sharing of Out of Pocket Expenses

Out of Pocket Expense

Patient Pays 20%

Programs pays 80%

$25 $5 $20

$30 $6 $24

$40 $8 $32

$50 $10 $40

$100 $20 $80

$125 $25 $100

MAXIMUM

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