Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen Co

HIV Care Has Changed in 30 years… PLWHA deserve high quality care…...not just drugs Convenience Respect Privacy Information Support Choice

What is best for the HIV consumer? Waiting lists Complex system to navigate States budgets are tight More people need access to Rx programs Drug prices increasing Access to pharmacist/pharmacies Access to skilled professionals Continuity of care- multiple pharmacies Co morbidities Patient Access to Drugs Patient Access to Drugs Patient Access to Choice and Support Patient Access to Choice and Support

Role of Pharmacists Dispensing drug Drug experts/ 6 years of education In the community Support for adherence/ watch for interactions Help to manage side effects Communication with providers/case managers Copay assistance/Billing issues Answer question- find solutions Privacy & Respect

We want to be part of the solution-Ending AIDS Vision Statement Walgreens seeks to become the most trusted national provider of high quality care and support for people living with HIV.

Understanding HIV Communities 7 Shows all wag locations filling HIV Rx/day (at least 1 rx/day). Points to potential COE opportunities. Visually shows the top HIV filling stores in the market Shows which wag stores are serving the strongest HIV potential trade areas Shows HIV competitors reported by market managers – not an exhaustive list of hiv competitors Shows relative strength across medical buildings in terms of HIV revenue. Points to potential HIV onsite opportunities. Directionally points to HIV hot spots in the market as a starting point on where best to locate HIV services.

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Walgreens HIV-Specialized Pharmacies PATIENT CARE Cultural competency Specialized training HIV drugs in stock Delivery available Adherence support Access to financial assistance HIV.Walgreens.co m COMMUNITY PHARMACIES HIV RETAIL PHARMACIES CALL CENTER PHARMACIES

What is the difference between pharmacies? 10  Friendly, empathetic, attentive customer service  Trained pharmacists- face to face options  Access- Convenience  Inventory in stock  Synchronized refills  Coordinate billing of co-pays  Communicate with providers  Give patients adherence tips  Participate in community events  Notify patients 3 to 5 days before refills  Option for free delivery  Certified pharmacists  Trained technicians

Walgreens HIV-Specialized Pharmacies Recognition 11 “…Walgreens, America’s largest drug store chain, has designated more than 500 hundred of its pharmacies as “HIV Centers of Excellence” ” ……”This is how you make a difference ……”doing good and doing well at the same time…” --Elton John

Walgreens proprietary systems and HIV processes provide tools for pharmacists to support patient care and adherence Day 25 Day 37 Day 1 Day 55 Establish regimen Check for interactions Check adherence Synchronize all Rx dispensing Verifiy coverage, copay Review regimen Check for new Rxs & interactions Check adherence Synchronize all Rxs Bag Rxs together Verifiy coverage, copay Outreach to patients who have not picked up medications Review regimen Check for new Rxs & interactions Check adherence Synchronize all Rxs Bag Rxs together Verifiy coverage, copay Ensure all medications in stock (ongoing)

Greater than AIDS Public Health Information Campaign Partnership and Materials Walgreens partners with the Greater Than AIDS public health information campaign to distribute informational resources, operationalize HIV testing events and target community outreach. Greater Than AIDS aims to increase the public’s knowledge and understanding of HIV/AIDS and confront the stigma surrounding the disease.

14 COMMUNITY ENGAGEMENT Partnered with more than 50 health depts. and ASOs to carry out in-store testing. GENERATED RESULTS HIGH VISIBLITY PROMOTIONS In-store posters, post cards in more than # stores in communities where testing offered; partner outreach and press resulted in additional visibility Twice as many stores / markets participating as last year; data still being collected, increase in testing and positives Between June 27-29, 2012 (coinciding with Natl. HIV Testing Day), Walgreens and Greater Than AIDS teamed up to offer free HIV testing in 50 COEs in 20 high incidence markets: Walgreens Annual HIV Testing Initiative Supports Education on a National Scale in Affected Communities

Walgreens HIV Community Initiatives CDC Testing Pilot HIV MTM Local/ Ad Hoc Testing CDC - funded Beg early May Ongoing CHI, GA, WashDC Take Care 200 Test Kits RPh, NP testing Walk-in Q4 Expansion Other Sites –Maryland –Oakland –MT Indian Hlth sites 10 cities 1000 patients Starting Jan 2013 CDC collaboration Underserved areas LA – monthly Depts Hlth/ASO Houston Upcoming year Depts Hlth/ASO

HIV in After 30 years of HIV and 15 years of highly active anti-retroviral therapy, the HIV treatment and prevention landscape is changing Truvada now approved to PREVENT HIV (pre-exposure prophylaxis). HIV home test kits have been approved and will be available in our stores late September New “Quad drug” (one pill once-a-day regimen) expected to launch later this summer and a new BOOSTER agent similar to Norvir. Generics for HIV drugs are slowly becoming available.

17 THANK YOU !

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