OneTouch Makes Testing Accessible

for All Patients.

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Sharon Ditata MT(ASCP)

Customer Development
Representative

DCF-13-2666B

Diabetes affects

1 in 12
People today

Source: CDC, National Diabetes Fact Sheet, 2011

AW 3102280A

Diabetes will affect

1 in 3
people by the year 2050

Source: Boyle PP et al. CDC Population Health Metrics 2010, 8:29

AW 3102280A

Partner with the category leader.

Test Strip
Share by Manufacturer*
Total Rx POS (%)

40.5%

19.2%

18.9%

OneTouch Ultra
Family of Products

New Product
Innovations

Sales Force
Strength

#1 Recommended
Brand by
Endocrinologists

Lowest Co-pay on
the Most Health
Plans*

Leading Share of
Voice in
Advertising

14.4%
5.7%
1.3%

LifeScan

Abbot
Abbott

Roche

Bayer

Private
Label

Other
Mfg

Source: TRx Share, Retail Sept YTD 2012. Data Source - IMS Xponent TRx Share.
*Some health plans may have more than one test strip covered at the lowest co-pay.
AW 3102280A

Partner with the category leader.

Test Strip
Share by Manufacturer*
Total Rx POS (%)

40.5%

19.2%

18.9%

OneTouch Ultra
Family of Products

New Product
Innovations

Sales Force
Strength

#1 Recommended
Brand by
Endocrinologists

Lowest Co-pay on
the Most Health
Plans*

Leading Share of
Voice in
Advertising

14.4%
5.7%
1.3%

LifeScan

Abbot
Abbott

Roche

Bayer

Private
Label

Other
Mfg

Source: TRx Share, Retail Sept YTD 2012. Data Source - IMS Xponent TRx Share.
*Some health plans may have more than one test strip covered at the lowest co-pay.
AW 3102280A

DCF-13-2666B

Diabetes Category Opportunity

Rate of diabetes
diagnosis is
increasing

Chronic
disease

Co-morbid nature
of disease drives
additional needs

More
shoppers

Repeat
traffic

Higher basket
ring (front & back
of store).

Long-term opportunity drive shopper loyalty among high value shoppers.

Annual retail spend : diabetes patient - up to $6,875*

*The Full value of a Diabetes Patient. Smart Retailing Rx 2013
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Coverage Confusion
Commercial
Coverage

Medicare

Cost is a leading
reason why patients
stop testing

Move to mail order

due to perceived
benefits

Confused about their

co-pays

Confused about their

options

Partner with OneTouch to keep

your patients at retail
AW3070996B

SMBG Category Overview

Payer Mix

Retail

28%
Non-Retail

37%
Retail

11% Cash
27% Government
62% Commercial
Cash

35%
Mail Order

Mail Order

59% Government
41% Commercial

Data Source IMS DDD, 12 months ending June 12, Category size, mix, and share based on total test strip volume.

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OneTouch
Commercial Coverage.

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11

Commercial Coverage Challenges

Confusion with misconceptions and clutter

Formulary Misconceptions

32% of the total contracted test strips

in National Managed Care Accounts
are going to non-formulary competitors1

500 Million

Non-Formulary Test Strips

Co-Pay Card Clutter

Co-pay card usage: <3%2

Operational inefficiencies

Non-formulary users may be targeted by

plans and/or PBMs to switch to mail order

1National

MCO Accounts: United, Aetna, Humana, Cigna, Coventry, Wellpoint. FY 2011

Health Q1 2012.
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2MediMedia

12

OneTouch Commercial Rx Access

Unmatched patient savings

2012 Typical Average Co-Pays in 3-Tier Benefit Design

Patients could
be saving up to:

$42/month

Data Source: Health Strategies Group: Health Plan Pharmacy Management Trends March 2013 data from 2012
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Case Study: UnitedHealthcare Programs

Partnering with retail to meet formulary & cost objectives
Scenario

Patient chooses a Tier 3 product (such as Abbott, Freestyle, Bayer Contour,

or Store Brand) that is currently listed in Tier 3 and fills at retail twice. On the
third fill, the following will occur:
1.

Tier 3 product is no longer covered at retail patient pays full price

2.

Patient is asked to switch to a preferred product from Tier 1 (currently either

OneTouch or Accu-Chek)

3.

30-day fill at retail: average co-pay $10

90-day fill at PBM Mail: average co-pay $25

Patient stays with non preferred product but must switch to pharmacy mail
(Medco), pay corresponding Tier 3

30-day fill at retail: average co-pay $50

NOTE: Not all members with a pharmacy benefit participate in this program.

*This is a case study of the United Healthcare Select Designated Pharmacy Program. This program is excluded in the following states: NY, NJ, CT, LA, AR,
and MD.
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OneTouch Commercial Access

Expanding OneTouch Commercial Coverage in 2014

OneTouch Verio and Ultra Test Strips

are the only test strips covered on the
Express Scripts National Preferred
Formulary
Patients on all other brands will have to switch as of
January 1, 2014 or pay list price.

OneTouch Verio and Ultra Test Strips

are preferred1 on the CVS Caremark
National Formulary
As of January 1, 2014, Abbott FreeStyle and Bayer
CONTOUR Test Strips are no longer reimbursed by
many CVS Caremark plans.2

OneTouch: Sole Source

Carefirst BCBS as of 7/1/13
Express Scripts as of 1/1/14
RegenceRx as of 1/1/14
Illinois Medicaid as of 7/13/13
.and many other OneTouch Regional
Contract wins

Opportunity to
convert
non-formulary
patients to
OneTouch.

1 Preferred:
2

For most plans, products that are usually covered at the lowest co-payment or co-insurance.
Plans that opt-in to the CVS Caremark 2014 Formulary Exclusion List.

The information provided is not a guarantee of coverage or payment. Actual benefits are determined by each plan in accordance with its
respective policies and procedures. All trademarks are the property of their respective owners.
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Drive Loyalty Among BGM Patients

by delighting Patients at the Pharmacy

Current Process
Patient presents
script to
Pharmacist/Tech

Prescription is
adjudicated and
processed

Patient receives
test strip

Future Process
Patient presents script
to Pharmacist/Tech

Insurance coverage is
checked to determine
lowest copay

Prescription is
adjudicated and
processed

Patient receives test

strip

Quick extra step could save patients

up to $42 per box
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OneTouch Commercial Access

Meter Offerings Available

Patient Starter Kits

with Meter Card at
HCP Offices
Meter adjudicated at
Pharmacy with branded
prescription.

Universal Meter Voucher

Give patients the right meter with a single ID no-charge meter
voucher.

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OneTouch
Medicare Coverage.

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18

Coverage Confusion
Commercial
Coverage

Medicare

Cost is a leading
reason why patients
stop testing

Move to mail order

due to perceived
benefits

Confused about their

co-pays

Confused about their

options

Partner with OneTouch to keep

your patients at retail
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Medicare Coverage Clarity

80%

Medicare
DME: Durable Medical Equipment
With Medicare Part B and most
supplemental insurance plans,
patients will have

$0
out-of-pocket

20%

Supplemental

expense for OneTouch

Products1

(MediGap)

Not a guarantee of coverage and payment. Coverage and payment may be subject to co-insurance, deductible and patient eligibility requirements

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Medicare Challenges
Coverage changes causing confusion and shift to mail order

Coverage Confusion

Shift to Mail Order

Medicare reimbursement changes have caused confusion

among pharmacists and patients

What is covered?
Where can I get my favorite brand?

Perceived benefits of mail order:

More cost effective

More convenient

Automatic refills and reminders

Do I have to go to mail order?

*Not a guarantee of coverage and payment. Coverage and payment may be subject to co-insurance, deductible and patient eligibility requirements.
Data Source: Roper Patient Data 2010
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OneTouch Medicare Access

Medicare and Medicaid Assignment Program (MAP): How does it work?

Multiple OneTouch Meters

are available for your Medicare
patients at no charge*. Also
get access to offers on
ancillary products.

No special Medicare SKUs means

less hassle

OneTouch also offers rebates

on OneTouch Brand Test
Strips1

Completely automatic program for

faster payment

1Applicable

if customer is signed up for existing MAP program.

*Some limitations may apply
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