Hosted by: Clovis Community Medical Center
Welcome Employee Benefits
Committee
February 7, 2017
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Mission of the Employee Benefits CommitteeEmployees and retirees working to provide
all of our benefitted employees and retirees with:
The Best Possible Benefits
With The Best Possible Service
At The Lowest Possible Cost2
EBC meetings at BHS Lecture Hall 3:30 to 5:30
EBC Nov 15 new members
EBC Dec 1EBC Jan 19EBC Feb 7 at Clovis Community Medical CenterEBC March 23 Delta Dental & VSPEBC April 27 CVSEBC May 11
All dates subject to changeTBA Additional EBC & SBC meetings 3
Attendance is critical.You are the representative for your site/department
SBC ECCSep 1 Nov 2Sep 20 Oct 27 Dec 19 Dec 12Jan 12 Jan 26Jan 31Feb 22??March ?? April ??
EBC Topics for Today
Distributing EBC Meeting ‐ Talking Points
CVS Prior Authorization for High Cost Generics
Update: CUSD Primary Care Health Center
Presentation: Clovis Community Medical Center
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Meeting Talking Points – Share with Your Colleagues
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CVS Caremark Cost Mitigation Updates
Identification of High Cost Generic Drugs Recommendations:
Prior Authorization Plans to Address these Products
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Generics: Fortamet / Glumetza vs. Glucophage XR
Fortamet / Glumetza (metformin ER) :Metformin ER (extended release) is an oral medication used to treat
diabetes. The extended release version of the drug Metformin is available under
three different brand names, now available generically.
• Glucophage XR ‐ Cost per Rx $5 to $10 PA requires generic Glucophage XR first
• Fortamet and Glumetza ‐ Cost per Rx $4,000
3 months Cost ‐ 22 utilizers costing approximately $82,0001 year Projection ‐ $330,000 to $400,000 as this is a maintenance Rx
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Generic: Zegerid vs. Over the Counter SolutionZegerid (omeprazole/sodium bicarbonate):Omeprazole/Bicarbonate is a high cost generic stomach acid medication
called ZegeridMany options* available, including regular Omeprazole (generic
Prilosec); significantly lower cost; available Over‐the‐Counter (OTC)*Stomach acid reducers called Proton Pump Inhibitors (PPI’s)
• Zegerid ‐ $500 to $1,000• Individual ingredients ‐ (Omeprazole and bicarbonate) are available
OTC at $5 to $10PA requires trial of three less expensive generic PPI alternative(s) prior to Zegerid
3 months Cost ‐ 6 Zegerid utilizers costing approximately $21,0001 year Projection ‐ $80,000 (not a maintenance Rx, but often used as if
it is a maintenance Rx)8
Clovis Unified Primary Care
Health Center Building
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Health Center location - Former ITT Building SW Corner Herndon & Clovis Avenues
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Opening Late Fall
2017
EBC Action Items Provide updates to your colleagues Work with your supervisor to determine a
plan for dispensing information to your site/department
Kelly Avants will provide talking points
Next EBC Meeting: Thursday, March 23rd
At BHS Lecture Hall
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Clovis Community Medical Center
Team Presentation
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