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00.1 USDR PROTOCOLS for PHARMACY BENEFIT MANAGEMENT

PHARMACY BENEFIT MANAGeMENT by USDOCTOR.INFO
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USDR PROTOCOLS for PHARMACY BENEFIT MANAGEMENT

Annual Costs to Insured




Year

Expense Cost US$

       2015 $   842,127.39
       2016$1,277,018.75
Net Increase 2014-> 2015$   434,891.36
Net Increase 2014-> 2016$   545,547.43

NET SAVINGS with USDOCTOR

$  279,533.39

TOTAL SAVINGS
$ 825, 080.82

($279,533.39 +
   $545,547.43)

Total Savings from the First 25 Drugs Only!

PHARMACY FORMULARY MODIFICATIONS by USDOCTOR™ _________________FIRST 25 P.B.M. MODIFICATIONS
#Drug
Name		 Disease
Group Cost/year
#
Claims Paid
2015 Cost
per client
2016 New Cost/unit
GoodRx™
Net Total
Increase
w/o PBM
2016
90-day Price
Savings from 2015
 Methodology
____________________________________ ________________________________________________________________________     
  1.Stelara®Psoriasis$37,616.46    3$12,538.82$24,125.90$ 34,761.24$54,042.43
T.B.D.
$30,000.00Protocol
Naltrexone
Naturopathic
  2. Crestor® Lipids$36,321.93  87$     417.49$     718.12$ 26,154.81$        46.90
40mg #84
$32,241.33Exchange
Naturopathic
  3.Tecfidera®Multiple Sclerosis$34,722.86  13$  2,670.99$  5,577.60$189,125.43 $17,219.10
T.B.D.
$  8,000.00RxCanadian
Naltrexone
  4.Nexium®/
Protonix®		GERD$21,251.84  50$     425.04$     296.32 _$        16.59
40mg #90
$20,422.50In Class
Substitution
  5.Zetia®Lipids$21,162.11  45$     470.27$     751.00$ 10,038.64$      146.00
10mg #84
$14,592.15Exchange
Naturopathic
  6.Xarelto®
Plavix®		Clotting$16,862.14  56$     301.11 $     960.81$ 36,943.20$      175.00
20mg #84
$  7,062.16Exchange
Protocol
  7.Vytorin®Lipids$16,616.31  37$     449.09$     744.20$ 10,919.07$      220.10
10/40mg #90
$  8,472.63Exchange
Naturopathic
  8.Spiriva®Asthma$12,985.82  37$     350.97 $   1,813.87$ 20,701.20$      207.90
18mcg #180
$  5,293.59Exchange
  9.Solodyn®Antibiotic$12,735.35  13$     979.64 $     754.84            39.27
100mg #90
$12,224.81In Class
Substitution
10.Novolog®
Novulin®		Insulin$25,483.53  22$     850.12 $  1,377.93$ 11,611.82$      154.61
5 vials Walmart
$27,344.46In Class
Protocol
11.Januvia®
Diabetes$11,757.40  20$     587.87$  1,047.95$   9,201.60$        84.30
100mg #84
$10,071.40Protocol
Naturopathic
12.Abilify®Behavior$11,093.35    5     $  2,218.67          181.00
10mg #100
$10,188.35Exchange
Protocol
13. Adderall®XRA.D.H.D.$10,261.94  90$    114.02$     214.87$   9,076.50$      214.87
#90
No ChangeNo XR
Substitution
14.Delzicol®Colitis$  9,643.37  21$    459.21$  1,075.55 $ 12,943.14$      216.40
500mg #150
$  6,099.66Exchange
Protocol
15.Lantus®Insulin$  9,446.94  21$    455.29$  1,125.16 $ 14,067.27$      139.60
#5 10ml vials
$ 6,873.30Protocol
In Class
16.Pradaxa®Clotting$  9,102.88  21$    433.47$     571.51$   2,898.84$      107.25
110mg #120
$ 4,487.07Exchange
Protocol
17.Eliquis®Clotting$  9,018.20  30$    300.61$     968.66$ 20,051.40$      131.10
2.5mg #60
$ 1,392.30Exchange
Protocol
18.DHE-45®Migraine$  8,974.52    1$ 2,991.41  1,706.30 $      165.60
#3 Nasal
$ 4,000.00Exchange
Protocol
19.Symbicort®Asthma$  8,754.52  21$    416.88$   1,862.98$   8,894.13$      260.00
#2 360 dose
$ 3,294.48Exchange
20.Humira®Colitis$11,093.35    4$ 2,733.38$10,874.30$ 78,527.68$    6000.00
T.B.D.
$34,000.00Protocol
Substitution
21.Asacol® HDColitis$  8,466.72    8$ 1,058.34$  2,595.43$ 12,296.72$     263.30
800mg #360
 $ 7,116.72Exchange
Protocol
22.Lovenox®
enoxaparin		Clotting$ 8,268.99    7$ 1,181.28 $     202.96 
$  101.35
16 syringes
       479.36Generic
Protocol
23.Fentanyl®Pain$ 7,598.86    7$    237.46 $    259.79$   6,665.26$     259.79
#30 patch
$  1,029.00No
Substitution
24.Clonidine® TTSBP$ 7,277.75  19$    383.04 $  2,168.95$ 23,641.70$     314.00
#24 patch
$  4,085.76Generic
Substitution
25.Humalog®Insulin$ 7,137.82  37$ 1,189.64 $  1,379.58$   7,027.78$     127.99
5 vials
$39,473.75In Class
Protocol
26.Namenda®/
memantine		Senility$    933.99  17$  $  1,020.15$   3,610.00
Namenda XR #90
$       41.24
Namenda 21mg #180
$16,641.47Generic
In Class
27.Androgel®Low- testosterone$  7,048.63  17$      414.63    $689.17$   4,378.18$       44.38
#1 10ml
$  6,294.25Substitution
Protocol
28. Pristiq® Atypical Antipsychotics$  6,937.08  14$      495.51$    800.75$   4,273.36$    205.90
50mg #84
$  4,054.54Exchange
In Class
29.Lyrica®Anti-convulsant$  6,798.27  20$      480.78$    994.47$ 10,273.80$      34.90
800mg #180
$  8,917.60In Class
Substitution