ADAP Advocacy Association 2012 ADAP Solution Summit

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Presentation transcript:

ADAP Advocacy Association 2012 ADAP Solution Summit Lynda Dee Fair Pricing Coalition April 2-3, 2012

FAIR PRICING COALITION FPC History Programs and New Initiatives Favorable PAP Characteristics Favorable Co-Pay Characteristics Welvista FPC Contact Information

FAIR PRICING COALITION Martin Delaney Linda Grinberg 1999

FAIR PRICING COALITION 2002 two year price freeze Guidance to ADAP Directors resulting in $50MIL to ADAPs Work with ADAP Crisis Task Force

PROGRAMS-NEW INITIATIVES Initial pricing after FDA approval CPI Price increases Patient Assistance Programs (PAPs) Co-Pay Programs for private insurance Co-Pay Programs for Part D clients Coverage of initial deductibles

PATIENT ASSISTANCE PROGRAMS (PAPs) Covers all residents 500% of FPL ($55,850 annually): Abbott, Boehringer Ingelheim (BI), Bristol Myers Squibb (BMS), Merck, Genetech/Roche (950%), Gilead, ViiV Exceptions for special circumstances

CO-PAY PROGRAMS At least $200 in coverage per month Easily accessible by patients Abbott, BMS, Gilead, Merck: $400 Janssen: No limit as of 4-1-12

WELVISTA One stop shopping for waiting list clients Licensed in 20 states Solution for 2011 Florida Fiasco Welvista.org - 877-258-1556

FAIR PRICING COALITION fairpricingcoalition.org