Community Oncology Conference Ricky Newton, CPA Director of Financial Services and Operations and Treasurer April 24, 2015

Background ▪ 25-35% of all new drugs being made for oncology patients are coming out as oral drugs ▪ Patients need a safe, reliable, accessible and affordable environment that is tightly integrated into their overall cancer care ▪ Community clinics over the years have opened up facilities within their clinics to provide these services instead of the patients having to rely on specialty pharmacies and other retail pharmacies

70 Oncology Oral Drugs 3 © 2015 Community Oncology Alliance

Oral Drugs Classified by Indication 4 © 2015 Community Oncology Alliance

5

COPA Purpose ▪ COPA is a not for profit entity under the direction of COA to enhance patient care by doing the following Help practices enhance outcomes of cancer patients treated with oral medications ▸ Focus on quality, efficiency, and financial viability Establish quality standards, best practice benchmarks, operating procedures, and other clinical/operating processes Provide a forum for practices to share best practices and information, especially relating to state pharmacy issues Develop the quality/value proposition of “integrated oral cancer treatment” for payers (Medicare, private, self insured) Educate pharmaceutical companies on the clinical/value proposition of “integrated oral cancer treatment” ▪ Specialty pharmacies (providers of complex medications for complex health conditions) are attempting to separate oral cancer drugs from the point of control with the oncologists, thus interfering with the relationship between the patient and oncologist

Examples of Specialty Pharmacies 7 © 2015 Community Oncology Alliance

▪ Create standard national quality measures ▪ Establish a way to measure quality in a tangible way Similar to the oncology medical home initiative ▪ Publish an independent report/analysis documenting patient experience of receiving oral cancer drugs in practice versus specialty pharmacy ▪ Develop the COPA website ▪ Create information sharing on the closed COPA list serve Immediate Priorities 8 © 2015 Community Oncology Alliance

Priorities Specific to Patients ▪ Library of patient assistant programs for all oral chemotherapy and supportive care drugs ▪ Library of patient focused educational materials on each oral drug ▪ Patient focused educational material highlighting a practice’s dispensing program ▪ Blog for patients to be able to ask questions of other patients on oral drugs or the ability to write their stories and experiences to share with other 9

▪ Story of my brother in law’s wife’s mother with Thalidomide for multiple myeloma over 15 years ago ▪ Rose will be following up with each of you in the next session about how to jump on board and help us initiate this effort