Milledge. Drugs S. Milledge Ave. Athens, GA (706) Drugs. Dispensing Quality Healthcare Since Owner: Carlisle C.
|
|
- Francine Anderson
- 5 years ago
- Views:
Transcription
1 M i l l e d g e Drugs 1220 S. Milledge Ave. Athens, GA (706) Milledge Drugs Dispensing Quality Healthcare Since 1952 Owner: Carlisle C. Dennis 463 Hampton Court Athens, GA (706) Opening Date: January 18, 2010 Developed by: Caroline Dennis, Brad Kirk, Melissa Underwood, and LeAnn Walton May 1, 2009 Page 1
2 Mission Statement Conveniently located in the Five Points community of Athens, Georgia, Milledge Drugs has been Athensʼs choice for outstanding patient care since Milledge Drugs has made it a point to change and evolve as technology and the pharmacy profession evolve. Our first and foremost goal is to provide the best patient care possible in a modern yet compassionate setting. The pharmacy staff is a healthcare team, and each member of the team works to show genuine interest in each patient while providing personalized care. Our Companyʼs Values 1) Our patients deserve a supportive and compassionate environment 2) We are committed to providing the best quality of care possible to each patient 3) We listen to the patientʼs concerns and make them the priority when determining therapy management 4) We view the patient-pharmacist relationship as a partnership in which we strive to achieve the most desirable outcome for the patient Description of Business Legal Structure S-Corporation Advantages: Elimination of corporate double taxation (Corporate tax on profits and Income tax on dividends) Limited personal liability Profits and losses pass through to owner(s). Ownership is transferable to others via stock sale (family, future partners) Continuity of business in case of sickness or death of owner.
3 Current Products and Services Prescription medications Basic compounding Over the counter products Medications Vitamins and Herbals Cosmetics Personal care products Ice Cream Counter Drive through window Future Products and Services All currently available services Expanded Compounding Veterinary Dental Immunizations Milledge Fertility Pharmacy Compounding Medication support Counseling Optimum Care Medication therapy management Location Analysis Located in Five Points area Close to the University of Georgia 159,027 Residents within 10 Miles 8.7% of the population is age 65+ ~52.3% of the population is women Fertility patients targeted in a 60-mile radius A is Milledge Drugs. Proximity to UGA A is Milledge Drugs. Five Points Intersection Staff: Carlisle C. Dennis, Pharm.D.: owner, full-time pharmacist (Milledge Fertility), manager Mitch Weaver, R.Ph.: previous owner, part-time Pharmacist Resident: MTM specialist Technicians: filling, inventory management, cashiers Clerks: cashiers, customer service
4 Marketing Marketing Plan Target Market Potential Market Patient focus Current clientele Population is projected to grow 8.8% by the year 2013 Branding Elderly 159,027 residents within a 10 mile radius of Milledge Drugs Women To reach our target markets, Milledge Drugs will employ several techniques. Flyers will be distributed to the residential community, doctorsʼ offices, fertility clinics, and other places of business. These flyers will include contact information, store hours, and a summary of services. In addition, we will have a Yellow Page listing. Involvement in local health fairs will also expose our new services to the community. The website will be redesigned so that customers can request refills online, receive refills reminders via , schedule Optimum Care appointments, and learn about our services. Improved Floor Plan Two new consultation rooms More retail shelving space Improved ice cream counter Updated waiting area with wi-fi Pharmacy Upgrades Remodeling/Counseling Rooms Equipment(computer/furniture) 6,792 Construction Cost 16,423 Improvements-Pharm/Retail Furniture/Fixtures 2,250 Ice Cream Counter Update 5,551 Update (repairs, paint, lighting) 5,000 Shelving, Displays, Signage 2,560 Total Pharmacy Upgrades 38,576 New Layout
5 Balance Statement Beginning Year 1 (12/31) Year 2 (12/31) Year 3 (12/31) Assets Current Assets Cash $32,005 $44,217 $65,352 $118,481 Inventory $293,072 $296,111 $309,488 $303,891 Accounts Receivables $110,000 $119,238 $128,971 $139,121 Deposits $1,000 $1,000 $1,000 $1,000 Other $0 $0 $0 $0 Total Current Assets $436,077 $460,566 $504,812 $562,493 Fixed Assets Equipment $57,153 $57,153 $57,153 $57,153 Leasehold Improvements $21,423 $21,423 $21,423 $21,423 Goodwill $600,000 $600,000 $600,000 $600,000 Depreciation $0 -$11,431 -$22,861 -$34,292 Total Fixed Assets $678,576 $667,145 $655,715 $644,284 Total Assets $1,114,653 $1,127,711 $1,160,526 $1,206,777 Liabilities Current Liabilities Accounts Payable $0 $0 $0 $0 Current Portion of LT Debt $63,321 $74,566 $80,755 $86,860 Total Current Liabilities $63,321 $74,566 $80,755 $86,860 Long Term Liabilities Loan- Owner $97,822 $90,186 $81,915 $73,019 Loan-Bank $857,340 $790,410 $717,926 $639,962 Total Long Term Liabilities $955,162 $880,596 $799,841 $712,982 Total Liabilities $1,018,483 $955,162 $880,596 $799,841 Owners Equity Net Income $0 $59,385 $107,381 $127,005 Paid in Capital $96,170 $113,165 $113,165 $113,165 Retained Earnings $0 $0 $59,385 $166,765 Total Equity (Net Worth) $96,170 $172,550 $279,930 $406,936 Total Liabilities + Total Equity $1,114,653 $1,127,712 $1,160,527 $1,206,777
6 Loan Summary Milledge Drugs has been in operation for 57 years and the current owner wishes to sell because he would like to reduce the amount of time he spends in the pharmacy. The buyer is requesting a bank loan in the amount of $914,176 to be used for purchasing inventory, equipment, and leasehold improvements. The current owner, Mitch Weaver, will finance 10% of assets and goodwill in the amount of $104,307. The buyer, Carlisle Dennis, PharmD, will make a $113,165 (10% of total costs) cash injection to purchase the business and to use for start-up working capital. Additionally, the buyer can pledge other personal assets as collateral Total Market Value of Pharmacy: Personal Cash injection: $1,081,647 $113,165 cash injection which is 10% of total cost and personal assets as collateral Bank Loan: $914,176 (ten year amortization schedule with fixed interest of 8%) $11, Monthly Principal and Interest Total Interest paid over 10 yrs.: $416,801 Total Payoff amount: $1,330, Owner Loan: $104,307 (ten year amortization schedule with fixed interest of 8%) $1, Monthly Principal and Interest Total Interest paid over 10 yrs.: $47, Total Payoff amount: $151, Debt/Equity ratio: Start-up: st fiscal year: nd fiscal year: rd fiscal year: 1.97
Flint Hills Pharmacy and Hometown Apothecary. Presented By: Melissa Rufenacht Eric Gourley
Flint Hills Pharmacy and Hometown Apothecary Presented By: Melissa Rufenacht Eric Gourley MISSION STATEMENT.As independent and compounding pharmacies is to fulfill the need for easily accessible health
More information2008 Medicare Part D: Pharmacist's Survival Guide. Ronnie DePue, R.Ph., CGP
2008 Medicare Part D: Pharmacist's Survival Guide Ronnie DePue, R.Ph., CGP Objectives At the completion of this program, the participant will be able to: 1. Give an overview of the Medicare Prescription
More informationContents General Information General Information
Contents General Information... 1 Preferred Drug List... 2 Pharmacies... 3 Prescriptions... 4 Generic and Preferred Drugs... 5 Express Scripts Website and Mobile App... 5 Specialty Medicines... 5 Prior
More informationSelectHealth Prescriptions
SelectHealth Prescriptions pharmacy benefit management program SM SelectHealth Prescriptions is a full-service Pharmacy Benefit Manager (PBM) that offers transparent pricing, clinically based programs,
More informationhttps://survey.mercer.com/forms/surveys/preview.aspx?print=default&s=3779&loc=en-...
Page 1 of 21 Page 1 Purpose of This Survey The Tennessee Department of Finance and Administration (TennCare) engaged Mercer Government Human Services Consulting (Mercer), part of Mercer Health & Benefits
More informationSAVINGS GUARANTEED FEEL BETTER. This Program is NOT Insurance. Membership
FEEL BETTER GUARANTEED SAVINGS This Program is NOT Insurance. Membership fee required ($20 individual or $35 family per year). Persons receiving benefits from Medicare, Medicaid or other government-funded
More informationInvesting in the Health of Our Community. Benjamin Guthrie Kara Herko Rachael Mead Ashley Sweaney
Investing in the Health of Our Community Benjamin Guthrie Kara Herko Rachael Mead Ashley Sweaney Mission Statement To offer superior quality healthcare in both services rendered and products dispensed.
More informationPrescription Drug Benefits
Stryker s healthcare plan provides benefits for covered prescription drugs, including contraceptives, insulin and diabetic supplies. Benefits are paid for covered drugs that are medically necessary for
More informationPrescription Drug Benefits
Stryker s healthcare plan provides benefits for covered prescription drugs, including contraceptives, insulin and diabetic supplies. Benefits are paid for covered drugs that are medically necessary for
More informationQuestions and Answers. When should I use mail order pharmacy services? What is my co payment for drugs? What is my co payment for preferr
WPDP/Moda Health Pharmacy Program Welcome to your new pharmacy program, offered through the Washington Prescription Drug Program (WPDP) and administered by Moda Health, formerly ODS Health. At Moda Health,
More informationSharp Health Plan Outpatient Prescription Drug Benefit
Sharp Health Plan Outpatient Prescription Drug Benefit GENERAL INFORMATION This supplemental Evidence of Coverage and Disclosure Form is provided in addition to your Member Handbook and Health Plan Benefits
More informationPrescription Drug Coverage
The Company s medical plans automatically include coverage for prescription drugs which is administered by Envision Pharmaceutical Services, Inc. (Envision Rx) for prescriptions filled at retail pharmacies
More informationSee Medical Benefit Summary. See Medical Benefit Summary
YOUR BENEFITS Benefit Summary Outpatient Prescription Drug Copper PPO Pharmacy Plan Standard Retail Network With CVS This document is provided as a sample and does not reflect actual benefits. A customized
More informationSee Medical Benefit Summary See Medical Benefit Summary. See Medical Benefit Summary See Medical Benefit Summary. Up to 31-day supply
YOUR BENEFITS Benefit Summary Outpatient Prescription Drug Keller ISD High Deductible 2019 Pharmacy Plan This document is provided as a sample and does not reflect actual benefits. A customized Benefit
More informationJill Rosenthal, MD, MA, MPH, FACOEM SVP, Chief Medical Officer Zenith Insurance Company
Jill Rosenthal, MD, MA, MPH, FACOEM SVP, Chief Medical Officer Zenith Insurance Company The prescription drug (Rx) share of total workers compensation (WC) medical costs for Accident Year 2014 = 17% Rx
More informationOutpatient Prescription Drug Benefits
Outpatient Prescription Drug Benefits Supplement to Your HMO/POS Evidence of Coverage Summary of Benefits Member Calendar Year Brand Drug Deductible Per Member Applicable to all covered Brand Drugs, including
More informationBENCHMARKING REPORT. Sponsored by PCCA
2017 BENCHMARKING REPORT Sponsored by PCCA NCPA Community Pharmacy Start-up Benchmarking Report, Sponsored by PCCA Project Director and Financial Editor Leon Michos, PhD NCPA Health Care Economist Project
More informationBenefit Summary. Outpatient Prescription Drug Products Virginia Plan 2V Standard Drugs: 10/35/60. Annual Drug Deductible - Network and Out-of-Network
Benefit Summary Outpatient Prescription Drug Products Virginia Plan 2V Standard Drugs: 10/35/60 Your Co-payment and/or Co-insurance is determined by the tier to which the Prescription Drug List (PDL) Management
More informationShare a Clear View. Vanderbilt University
Share a Clear View Vanderbilt University Share a Clear View NAVITUS CUSTOMER CARE HOURS: 24 Hours a Day 7 Days a Week 866-333-2757 (toll-free) TTY (toll-free) 711 MAILING ADDRESS: Navitus Health Solutions
More informationUC SHIP Premium Formulary. Effective September 1, 2016
UC SHIP Premium Formulary Effective September 1, 2016 Formulary A formulary identifies the drugs available for certain conditions and organizes them into cost levels, also known as tiers. An important
More information2018 FAQs. Prescription drug program. Frequently Asked Questions from employees
2018 FAQs Prescription drug program Frequently Asked Questions from employees September 2017 Prescription drug program Questions we ve heard our employees ask Here are some commonly asked questions about
More informationPage 1 of 21 Page 1 Purpose of This Survey The Ohio Department of Medicaid (ODM) has engaged Mercer Government Human Services Consulting (Mercer), part of Mercer Health & Benefits LLC, to conduct a survey
More informationSee Medical Benefit Summary See Medical Benefit Summary
Benefit Summary Outpatient Prescription Drug Products Oregon Plan I1 Standard Drugs: 15/30/50 Your Co-payment and/or Co-insurance is determined by the tier to which the Prescription Drug List (PDL) Management
More informationToolkit Overview. Maximize Your Pharmacy Benefits
Toolkit Overview Research shows that the vast majority of Medicare beneficiaries are not taking full advantage of their pharmacy coverage, resulting in poor medication adherence that can have a significant
More informationChapter 10 Prescriptions Benefits and Drug Formulary
10 Prescription Benefits and Drug Formulary Health Choice Generations is a Medicare Advantage Special Needs Plan (SNP) with Medicare Part D Prescription Drug Coverage. Medicare Part D drugs covered by
More informationMedicare Part D: TrOOP (True Out-Of-Pocket) Costs
Medicare Part D: TrOOP (True Out-Of-Pocket) Costs Pantea Ghasemi, USC Pharm.D. Candidate of 2015 Preceptor Dr. Craig Stern Pro Pharma Pharmaceutical Consultants, Inc. May 1, 2015 Objectives 1. Review background
More informationPHARMACY GENERAL INFORMATION
Pharmacy Program Cenpatico Integrated Care (Cenpatico IC) is committed to providing appropriate high quality and cost-effective medication therapy to all Cenpatico IC members. Cenpatico IC works with providers
More informationWilceCare Supplement Plan Outline
WilceCare Supplement Plan Outline 2015-2016 Plan Year Student Health Insurance Retain this summary for reference. 1 TABLE OF CONTENTS INTRODUCTION 3 ELIGIBILITY PROVISIONS 4 ENROLLMENT AND FEE PAYMENT
More informationBlue Shield of California Life & Health Insurance Company
Blue Shield of California Life & Health Insurance Company Outpatient Prescription Drug Benefit Rider Insurance Certificate Outpatient Prescription Drug Benefit Summary of Benefits Insured Calendar Year
More informationShare a Clear View. Marquette University CPHP (Co-Pay Health Plan) Printed on:
Share a Clear View Marquette University CPHP (Co-Pay Health Plan) Printed on: Share a Clear View NAVITUS CUSTOMER CARE HOURS: 24 Hours a Day 7 Days a Week 866-333-2757 (toll-free) TTY (toll-free) 711 MAILING
More information2017 Medicare Advantage and Prescription Drug Overview. Module 2
2017 Medicare Advantage and Prescription Drug Overview Module 2 Medicare Advantage Section 1 Proprietary and Confidential Information of UPMC Health Plan Medicare Advantage Three types of Medicare Advantage
More informationSee Medical Benefit Summary See Medical Benefit Summary
Benefit Summary Outpatient Prescription Drug Products Illinois Plan MM Standard Drugs: 0/0/0 Your Co-payment and/or Co-insurance is determined by the tier to which the Prescription Drug List (PDL) Management
More informationPrimary Choice Plan Premium Three-Tier
Primary Choice Plan Premium Three-Tier This brochure is a legal document that explains the prescription drug benefits provided by the Group Insurance Commission (GIC) to their Members on a self-insured
More informationFREQUENTLY ASKED QUESTIONS ABOUT THE CVS CAREMARK PRESCRIPTION DRUG PROGRAM
FREQUENTLY ASKED QUESTIONS ABOUT THE CVS CAREMARK PRESCRIPTION DRUG PROGRAM ABBVIE EMPLOYEES WANT TO KNOW 2018 Pharmacy Benefit Changes Q. What is the new prior authorization program? A. Certain brand
More informationfor Individuals and Families LIVE LIFE ASSURED
for Individuals and Families LIVE LIFE ASSURED Options as unique as you Coverage that s all yours Health Tradition for Individuals is designed for people who may not have access to a group or employer
More informationThe U.S. Healthcare System: How Pharmacy Benefit Managers Impact Prescription Drug Use. Presented by Daniel Tomaszewski Pharmd, PhD
The U.S. Healthcare System: How Pharmacy Benefit Managers Impact Prescription Drug Use Presented by Daniel Tomaszewski Pharmd, PhD 1 Medical Vs. Pharmacy Coverage Medical Insurance Managed by an Insurance
More informationGet the most from your prescription benefit
Get the most from your prescription benefit TE Connectivity HealthFund HRA Plan Welcome to Express Scripts What s Inside Your benefit at a glance...2 Your plan s preferred medicines...2 Prior authorization...2
More information2019 Pre-Medicare Retiree Healthcare Open Enrollment
2019 Pre-Medicare Retiree Healthcare Open Enrollment CHANGES ONLY ENROLLMENT Submit Enrollment Changes Before November 21 You MUST complete and submit the enclosed enrollment form by November 21 if you
More informationPharmaceutical Management Medicaid 2017
Pharmaceutical Management Medicaid 2017 Customer Service: (888) 327-0671 TTY: 711 Pharmacy Administration: (810) 244-1660 Visit our website at: McLarenHealthPlan.org MHP42721056 5/2017 Introduction Pharmaceutical
More informationThis little Piggy likes questions! FAQ Guide
This little Piggy likes questions! FAQ Guide A guide to some of the most frequently asked questions related to health spending accounts and some additional tips smart folks should know. Table of Contents
More informationThe Pediatric Center of Stone Mountain, LLC. General Pediatrics, Adolescent Medicine & Behavioral Health Services
Patient Name DOB Print First and Last Name of Patient Date of Birth MM/DD/YYYY Our goal is to provide and maintain a good provider-patient relationship. Letting you know in advance of our office policy
More informationUnderstanding Your Prescription Program. CCIU Employee Meeting September 7, 2016
Understanding Your Prescription Program CCIU Employee Meeting September 7, 2016 Welcome to FutureScripts! Founded in 2006 Philadelphia presence Strong ties to community and local businesses 68,000 pharmacies
More informationLindsey Imada, PharmD Candidate 2016 Midwestern University, Chicago College of Pharmacy
Lindsey Imada, PharmD Candidate 2016 Midwestern University, Chicago College of Pharmacy Under the Preceptorship of Dr. Craig Stern Pro Pharma Pharmaceutical Consultants, Inc. September 11, 2015 S OBJECTIVES
More informationSee Medical Benefit Summary See Medical Benefit Summary. See Medical Benefit Summary See Medical Benefit Summary
Benefit Summary Outpatient Prescription Drug Missouri 10/35/60 Plan 2V Your Co-payment and/or Co-insurance is determined by the tier to which the Prescription Drug List (PDL) Management Committee has assigned
More informationSenate Bill No. 91 Senator Hardy
Senate Bill No. 91 Senator Hardy CHAPTER... AN ACT relating to prescription drugs; combining the HIV/AIDS Drug Donation Program and the Cancer Drug Donation Program to create the Prescription Drug Donation
More informationTHE OHIO DEPARTMENT OF MEDICAID
HEALTH WEALTH CAREER THE OHIO DEPARTMENT OF MEDICAID PHARMACY STAKEHOLDER ENGAGEMENT MEETING September 13, 2016 Presenter Scott Banken, Mercer WHY WHO HOW The ODM is conducting a Professional Dispensing
More informationPHARMACY BENEFIT MEMBER BOOKLET
PHARMACY BENEFIT MEMBER BOOKLET Printed on: VALUE, QUALITY AND CONFIDENCE Costco Health Solutions Customer Care HOURS: 24 Hours a Day 7 Days a Week (877) 908-6024 (toll-free) TTY 711 MAILING ADDRESS: Costco
More informationPharmaceutical Management Commercial Plans
Pharmaceutical Management Commercial Plans 2015 Toll Free Contact Number: (888) 327-0671 Medical Management: (810) 733-9711 Visit our website at: MclarenHealthPlan.org Introduction Pharmaceutical Management
More informationValue Three-Tier EFFECTIVE DATE: 01/01/2016 FORM #1779_03
Value Three-Tier This brochure is a legal document that explains the prescription drug benefits provided by Harvard Pilgrim Health Care, Inc. (HPHC) to Members with plans that include outpatient pharmacy
More informationUnderstanding your Pharmacy Benefit
Understanding your Pharmacy Benefit At UnitedHealthcare, we want to help you get the most out of your pharmacy benefit. Here, you'll find answers to some frequently asked questions, because we re dedicated
More informationGet the most from your
Get the most from your FOREIGN SERVICE BENEFIT PLAN (FSBP) Welcome to Express Scripts What s Inside Your benefit at a glance...2 FSBP s preferred medicines...2 Coverage limits...3 Home delivery overseas...5
More informationKroll Ontrack, LLC Prescription Drug Plan. Plan Document and Summary Plan Description
Kroll Ontrack, LLC Prescription Drug Plan Plan Document and Summary Plan Description Effective December 9, 2016 Kroll Ontrack, LLC reserves the right to amend the Kroll Ontrack, LLC Health & Welfare Plan
More informationSchedule of Benefits. Plan Information Participating Provider Non-Participating Provider Benefit Period
Schedule of Benefits Duquesne University HSA PPO - Premium Network Deductible: $1,500 / $3,000 Coinsurance: 10% Total Annual Out-of-Pocket: $4,500 / $6,850 Primary Care Provider: 10% after Deductible Specialist:
More informationThe Health Plan has processes in place that explain how members, pharmacists, and physicians:
Introduction Overview The Health Plan shall promote optimal therapeutic use of pharmaceuticals by encouraging the use of cost effective generic and/or brand drugs in certain therapeutic classes. The Health
More informationHEALTH PLAN OPTION COMPARISON CHART Benefits Effective April 1, 2019 through March 31, 2020
Annual/School Physical Exams, Preventive Care/ Wellness Visits, Immunizations, Blood Draws, Condition Management (Ages two and up) Health Center OPERATORS HEALTH CENTER (not subject to deductible) Medical
More informationOctober 2, Minister of Finance House of Commons Ottawa, ON K1A 0A6. Dear Mr. Morneau: Re: Tax Planning Using Private Corporations INTRODUCTION
October 2, 2017 The Honourable Bill Morneau Minister of Finance House of Commons Ottawa, ON K1A 0A6 Via Email: fin.consultation.fin@canada.ca Dear Mr. Morneau: Re: Tax Planning Using Private Corporations
More informationProvider Manual Section 12.0 Outpatient Pharmacy Services
Provider Manual Section 12.0 Outpatient Pharmacy Services Table of Contents 12.1 Prescribing Outpatient Medications for Enrollees 12.2 Prescription Medications & Prior Authorization 12.3 Pharmacy Lock-In
More informationSchedule of Benefits. Plan Information Participating Provider Non-Participating Provider. Deductible: $250 / $750 Rx: $10/$25/$40/$40 Coinsurance: 0%
Schedule of Benefits UPMC Business Advantage PPO - Premium Network Primary Care Provider: $20 Copayment per visit Specialist: $20 Copayment per visit Deductible: $250 / $750 Rx: $10/$25/$40/$40 Coinsurance:
More informationPharmacy Benefits. Sarkis Kavarian, PharmD Candidate 2015 Preceptor Dr. Craig Stern Pro Pharma Pharmaceutical Consultants, Inc.
Pharmacy Benefits Sarkis Kavarian, PharmD Candidate 2015 Preceptor Dr. Craig Stern Pro Pharma Pharmaceutical Consultants, Inc. 4/3/2015 Introduction Pharmacy Benefits as Riders with Vision & Dental Plans
More information2011 NCPA. DigesT FINANCIAL BENCHMARKS
2011 NCPA DigesT FINANCIAL BENCHMARKS National Community Pharmacists Association The Voice of the Community Pharmacist 2011 NCPA DIGEST SPONSORED BY CARDINAL HEALTH Project Editor Donna West-Strum, RPh,
More informationIntel Corporation Connected Care Arizona Care Network
Intel Corporation Connected Care Arizona Care Network Prescription Benefits Managed by Express Scripts Member Services: 855.315.4523 Member Website: connectedcarehealth.com (follow the links to the prescription
More informationSaskatchewan Ministry of the Economy
Saskatchewan Ministry of the Economy June 2014 SASKATCHEWAN WAGE SURVEY 2013 - HEALTH CARE AND SOCIAL ASSISTANCE INDUSTRY DETALED REPORT SASKATCHEWAN WAGE SURVEY 2013: HEALTH CARE AND SOCIAL ASSISTANCE
More information2014 Side-by-side comparison between the Aetna CDHP and the Aetna PPO for Medical Coverage
2014 Side-by-side comparison between the and the for Medical Coverage Medical Coverage Carrier Aetna Aetna Aetna Aetna Deductible Individual $1,750 $3,250 $750 $2,250 Family $3,500 $6,500 $1,500 $4,500
More informationBenefit In-network Out-of-network 1
Personal Choice PPO Plus 6B Personal Choice, our popular Preferred Provider Organization (PPO), gives you freedom of choice by allowing you to choose your own doctors and hospitals. You can maximize your
More informationPRESCRIPTION DRUG EXPENSE BENEFIT 2019
PRESCRIPTION DRUG EXPENSE BENEFIT 2019 Welcome to the Prescription Drug benefit, administered by Express Scripts, Inc. (ESI). To receive the highest level of benefits, prescription drugs must be obtained
More informationPlan Comparison Checklist
Plan Comparison Checklist Date: The chart below should serve as a comprehensive guide for users when comparing health insurance plans during open enrollment. This chart is also used by Compass case managers
More information10.1 Summary Prescription drug coverage for you and your eligible Dependents Three-tier Copayment plan Retail and maintenance programs
10.1 Summary Prescription drug coverage for you and your eligible Dependents Three-tier Copayment plan Retail and maintenance programs Through the Prescription Drug Plan, you and your eligible Dependents
More informationImportant Questions Answers Why this Matters: Is there an overall annual limit on what the plan pays?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy from the Open Enrollment Self Service site. Important Questions Answers Why this
More informationShare a Clear View. El Paso Children's Hospital. Printed on:
Share a Clear View El Paso Children's Hospital Printed on: Share a Clear View NAVITUS CUSTOMER CARE HOURS: 24 Hours a Day 7 Days a Week 855-673-6504 (toll-free) TTY (toll-free) 711 MAILING ADDRESS: Navitus
More informationChanges in some state or federal law or regulations or interpretations thereof may change the terms and conditions of coverage.
BlueCare Direct Silver SM 212 with Advocate BlueCare Direct SM OUTLINE OF COVERAGE 1. READ YOUR POLICY CAREFULLY. This outline of coverage provides a brief description of the important features of your
More informationQualified High Deductible Health Plan PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED
PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $2,500 Individual $3,000 Individual $3,500 Employee + 1 $4,000 Employee + 1 $5,000 Family $6,000 Family All covered expenses accumulate
More informationCompensation and Reimbursement
492 Pharmacy Management: Compensation and Reimbursement Positions Compensation and Reimbursement Revenue Cycle Compliance and Management (1710) To encourage pharmacists to serve as leaders in the development
More informationMember Cost Sharing Participating Provider Non-Participating Provider Annual Deductible Individual $250 $750 Family $750 $2,250
Schedule of Benefits UPMC Business Advantage PPO - Premium Network Deductible: $250 / $750 Coinsurance: 0% Total Annual Out-of-Pocket: $6,350 / $12,700 Primary Care Provider: $20 Copayment per visit Specialist:
More informationChapter 8 Section 9.1
Other Services Chapter 8 Section 9.1 Issue Date: August 2002 Authority: 32 CFR 199.2(b), 32 CFR 199.4(b)(2)(vi), (b)(3)(iii), (b)(5)(v), (d)(3)(vi), (e)(11)(i), 32 CFR 199.5(d)(12); 32 CFR 199.17, and
More informationJourney on. Statewide Schools Retiree Program You need more than Original Medicare. We have what you need. For retirees over the age of 65
2015 Benefits at a glance Journey on. Statewide Schools Retiree Program You need more than Original Medicare. We have what you need. For retirees over the age of 65 Form No. 3-906 (10-14) SWS Over 65Dental
More informationBlue Essentials, Blue Advantage HMO SM and Blue Premier SM Provider Manual - Pharmacy
Blue Essentials, Blue Advantage HMO SM and Blue Premier SM Provider Manual - In this Section there are references unique to Blue Essentials, Blue Advantage HMO and Blue Premier. These network specific
More information2019 Pre-Medicare Retiree Healthcare Open Enrollment
2019 Pre-Medicare Retiree Healthcare Open Enrollment CHANGES ONLY ENROLLMENT Submit Enrollment Changes Before November 21 You MUST complete and submit the enclosed enrollment form by November 21 if you
More informationPLAN DESIGN & BENEFITS
PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $250 Individual $500 Individual $500 Family $1,000 Family All covered expenses accumulate separately toward the preferred or non-preferred
More informationPrescription Benefits State of Maryland. CVS Caremark manages your prescription drug benefit under a contract with the State of Maryland.
Prescription Benefits State of Maryland CVS Caremark manages your prescription drug benefit under a contract with the State of Maryland. Introduction This Prescription Benefit document describes how to
More informationNetwork Pharmacy Weekly
Inside this issue: Anthem HealthKeepers Plus OTC 2 Anthem GA 360 Change Sept. 1.2-4 Anthem GA Community Care 4-6 Serving the Underserved: 50 Years of Medicare and Medicaid (Part 2) In 2004, Express Scripts
More informationAetna Open Access Managed Choice - NE POS 30
Important Questions Answers Why this Matters: What is the overall For each Calendar Year, In-network: You must pay all the costs up to the deductible amount before this plan deductible? Individual $0 /
More informationManage your Prescriptions Online Through the Express Scripts Pharmacy
Manage your Prescriptions Online Through the Express Scripts Pharmacy www.express-scripts.com Customer service specialists are also available 24 hours a day/7 days a week at 1-800-711-0917. Get a 90-day
More informationVersion: 15/02/2017 [ TPID: ] Page 1
PLAN FEATURES NETWORK CARE OUT-OF-NETWORK CARE Primary Care Physician Selection Not required Not required Deductible (per calendar year) $1,500 Individual $3,000 Family $3,000 Individual $9,000 Family
More informationSchedule of Benefits. Plan Information Participating Provider Non-Participating Provider
Schedule of Benefits Panther Basic HSA PPO - Premium Network Deductible: $1,500 / $3,000 Coinsurance: 30% Total Annual Out-of-Pocket: $5,000 / $10,000 Primary Care Provider: 30% after Deductible Specialist:
More informationConsumer Driven Healthcare Plan Clermont County
Consumer Driven Healthcare Plan Clermont County OHIO NATIONAL POS CDHP 100/70 PLAN HSA COMPATIBLE ParticiPATING providers Embedded Deductible and Out-of-Pocket Maximum Options (per calendar year; deductibles
More informationStrategies to Increase CMR Completion Rates in Medicare MTM Programs
Strategies to Increase CMR Completion Rates in Medicare MTM Programs Erwin Jeong, Pharm.D., FCSHP Clinical Operations Manager, Medicare MTM Program Kaiser Permanente, Southern California October 29, 2016
More informationYour Prescription Drug Benefit Handbook
Your Prescription Drug Benefit Handbook Welcome! We're proud that your health plan has chosen Medco to manage your prescription drug benefit for retail and mail-order services. You're now with the industry
More informationSummary Plan Description Accenture Prescription Drug Plan
Summary Plan Description Accenture Prescription Drug Plan Effective January 1, 2018 Group Number: ACCRXS1 TABLE OF CONTENTS SECTION 1 - WELCOME... 1 SECTION 2 PLAN HIGHLIGHTS... 3 SECTION 3 - ADDITIONAL
More informationMedication Safety Errors: Ethics, Law and Liability
Learning Objectives Medication Safety Errors: Ethics, Law and Liability Identify ethical concerns and practices to reduce medication safety errors Know of Maryland law related to medication errors Evaluate
More informationThe State of New Mexico Group Benefits Plan Plan Year: January December 2018 Prescription Drug Program
The State of New Mexico Group Benefits Plan Plan Year: January December 2018 Prescription Drug Program 1 Who Is Express Scripts? Express Scripts administers your prescription drug benefit and you automatically
More informationSchedule of Benefits. Plan Information Participating Provider Non-Participating Provider
Schedule of Benefits Panther Advocate - HealthyU HIA PPO - Premium Network Deductible: $500 / $1,000 Coinsurance: 10% Total Annual Out-of-Pocket: $2,000 / $4,000 Primary Care Provider: 10% after Deductible
More informationTHE BIG 3 P s. Finding the Savings: Increasing Your Operational Efficiencies. Mark BonDurant Chief Consultant Independent Rx Consulting June 29, 2018
Finding the Savings: Increasing Your Operational Efficiencies Mark BonDurant Chief Consultant Independent Rx Consulting June 29, 2018 THE BIG 3 P s Mark BonDurant Chief Consultant Independent Rx Consulting
More informationSchedule of Benefits. Plan Information. Member Cost Sharing
Schedule of Benefits Panther Gold Plan - Enhanced Access HMO Applies to Bradford, Johnstown and Greensburg campuses only HMO Deductible: $0 / $0 Coinsurance: 0% Total Annual Out-of-Pocket: $1,800 / $3,600
More informationCDHP Special Administration
CDHP Special Administration Your prescription coverage under the Consumer Driven Health Plan (CDHP) is subject to special administration from the PPO plans and this page will explain those differences:
More informationPharmaceutical Management Community Plans 2018
Pharmaceutical Management Community Plans 2018 Customer Service: (888) 327-0671 TTY: 711 Pharmacy Administration: (810) 244-1660 Introduction Pharmaceutical management promotes the use of the most clinically
More informationProvider Manual Amendments
Amendments L.A. Care Health Plan Revised 11/2015 lacare.org LA1478 11/15 16.0 Pharmacy Overview L.A. Care s prescription drug formulary is designed to support the achievement of positive member health
More informationPLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED
PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $2,500 Individual $5,000 Individual $5,000 Family $10,000 Family All covered expenses accumulate separately toward the preferred or
More informationSBCFF Modified Rx 10/30/45 Prescription Drug Benefits
Rx Benefits SBCFF Modified Rx 10/30/45 Prescription Drug Benefits This summary of benefits has been updated to comply with federal and state requirements, including applicable provisions of the recently
More informationRxLegacy Pharmacy Ownership Overview
RxLegacy Pharmacy Ownership Overview ACPE # 0130 9999 17 074 L04 P&T Accredited for 2.5 CE Hours Disclosure & Session Objectives Amanda Fields, APRx General Counsel afields@aprx.org (preferred) 877 634
More informationCentura Health Pharmacy Benefit Summary
Centura Health Pharmacy Benefit Summary Welcome to your pharmacy benefit provided by Centura Health! This pharmacy benefit summary provides information about your pharmacy benefit, answers frequently asked
More information