1. Simplify the way you prescribe medicine
PreCheck MyScript™
Simplify the way you prescribe medicine
Thanks for the opportunity to speak with you today. The PreCheck MyScript team is dedicated to providing a price transparency tool to physicians which provides real time member information at the time of prescribing.
PreCheck MyScript was launched in 2017 and continues to drive great results for both providers and their patients. We have some success metrics we are excited to share with you today.
Providers- We want to share our updated savings from an administrative standpoint when utilizing the tool in your prescribing workflow.

2. Member Challenges
PreCheck MyScript allows you to discuss drug costs and options with patients while they’re still in your office — before prescriptions are sent to the pharmacy. 2 5
70%
74%
out of
consumers abandon their prescription1
of medication related ER visits are due to non-adherence2
of physicians want real-time data access to better support their patients3
(Speak to the member challenges on the slide.)
1.PharmaExec, “Tackling the Prior Authorization Challenge”. Accessed at authorization-challenge-critical-task-pharma. Nov
2. Am Heart J. Medication Adherence: A Call for Action. ncbi.nlm.nih.gov/pmc/articles/PMC Available in PMC 2014 March 9. Published in final edited form as: Am Heart J Sep; 162(3): 412–424. doi: /ahj Accessed July 3, PBMI Research Report, Pharmacy Trends in Accountable Care Organizations. 2

3. PreCheck MyScript PreCheck MyScript
PreCheck My Script makes it easy to get real-time, patient-specific prescription drug data at the point of care through the provider’s electronic medical record (EMR) system.
PreCheck MyScript is an example of leveraging data and technology to provide point-of-care information that supports delivery of care while simplifying administrative tasks.
How Does It Work?
PreCheck MyScript runs a trial claim through UnitedHealthcare’s system so you can:
Check current prescription coverage and price based on the member’s benefit plan
Find possible medication alternatives
See which prescriptions currently require prior authorization
Request prior authorization and receive results in a matter of seconds
PreCheck MyScript is currently available within the following EMRs:
DrFirst
Athenahealth
NewCrop
Allscripts
Cerner and Epic (through CenterX)
How does PCMS work? It works by running a trial claim through UHC’s claims system so the prescriber is able to see the members’ cost of the medication, if there are lower cost alternatives available, and if the drug requires prior authorization. This trial claim will process exactly like a claim processing at the patient’s pharmacy of choice at that exact time.
PreCheck MyScript is available in 4 cloud based EMRs and Epic and Cerner integrations are ongoing through RxRevu and CenterX.
For physicians that don’t have access within their EMR platform, we do offer PreCheck MyScript through the Link dashboard.

4. Real Time Results Saving time Saving money Better outcomes
Administrative cost savings delivered:
19% decrease in physician costs1
Saving money
Members save $80 per script1
Physicians save $24 per prior authorization1
Better outcomes
20% of scripts with alternatives switched2
80% tier 3 shifts to lower tier drugs1
4% higher adherence1
>30% of prior authorizations initiated or avoided2
There was a third party analysis completed on the administrative cost savings when providers utilized PCMS while writing a prescription. PreCheck MyScript is saving physicians time and money while providing better outcomes for patients. There was a 19% decrease in cost OR $24.49 per prior auth for physician and office staff for physicians with PCMS when a PA is required. Today >30% of prior authorizations are initiated or avoided with use of PCMS.
How does this translate to better patient outcomes?
For tier 3 drugs prescribed with alternates we shifted 80% to a lower tier drug. Which saved patients on average $80 per script that was switched. Also, we saw a 4% improvement in medication adherence for diabetes, and statins classes while comparing pre and post methodology, population included in the measurement was continuously enrolled
1. Third party analysis of OptumRx claims data. November, OptumRx internal data, within DrFirst EMR, November 2018 4

5. Retail, Home Delivery and Specialty Pricing
Retail Pharmacy
Member can set a preferred pharmacy
Prices displayed for in-network pharmacies
Home Delivery
90 day supply will be shown (based on benefit design)
OptumRx® home delivery pricing will display
Specialty
Pricing for specialty medications (based on benefit design)
BriovaRx® pharmacy pricing will display
Pricing information is available for the patient’s Retail pharmacy of choice, home delivery, and specialty. Knowing the pricing across all available pharmacy distribution pathways ensure the patients have insight to actual cost and allows them and their providers to make informed clinical decisions. You all have been on the receiving end of the patient at the pharmacy livid because of the price of the prescription and demanding something more affordable. This is eliminate that frustration from both the patient’s and the physician’s perspective.

6. Prior Authorization Requests
Improving prescriber transparency
Access to member benefits, drug pricing and lower-cost options at the point of prescribing
Simplifying the experience
Reduces member frustration at the pharmacy
Submit prior authorization requests electronically and receive approval in less than 2 seconds
When a drug is identified as requiring prior authorization, PCMS allows the physician to submit requests electronically. If the provider answers all questions favorably, they may receive an approval in less than 2 seconds in most circumstances.
Today PCMS is helping prescribers avoid or initiate prior authorization. >30% of prior authorizations are initiated or avoided when prescribers use PCMS.

7. Simplifying the Member Experience
Increases member satisfaction by showing medication costs and suggesting covered lower-cost alternatives, if available.
Prescriptions available at the member’s pharmacy 52% faster when using PreCheck MyScript for new and renewal prescriptions
In addition to saving the prescribers administrative time and money, PCMS is simplifying the member experience. Prescriptions that originate in PCMS are filled on average 52% faster than traditional prescribing mechanisms.
Source: OptumRx internal data, December 2018
1. OptumRx internal data, December 2018

8. Standard ePrescribing vs. PreCheck MyScript
Key Differences
PreCheck MyScript
Features and Functionality
Plan level benefit information
Member and plan specific
Runs a trial claim
Shows lower cost alternatives
View prior authorization requirements
Shows exclusions
Within existing EMR workflow
Seamless prior authorization
Proactive clinical alerts
Standard ePrescribing
PCMS offers providers an enhanced ePrescribing experience with seamless integration within their existing EMR. PCMS displays the patient price, lower cost alternatives, and prior authorization requirements. By arming physicians with this information up front, it can save the physician administrative time, the pharmacies administrative time, and can save the patient money.
Empowering prescribers at the point of prescription

9. Contact us
If you have questions about PreCheck MyScript™ please contact Marie Baker, Director Provider Relations, your physician advocate or visit UHCprovider.com/pcms.

10. Appendix
PCMS EMR Demo

11. UnitedHealthcare Member Bio
Judy Pullman had her annual physical one week ago and was told her blood glucose levels may be concerning. A full AIC test was ordered for her and now she is returning for a follow-up appointment to discuss the lab results with her doctor.
After reviewing the lab results with Judy, the doctor confirms she does have diabetes and would like to prescribe Actoplus to manage her condition.
CONTINUE
Example only: Judy is a 51 year old female who was recently diagnosed with diabetes. Her physician, Dr. Hamma, would like to prescribe Actoplus to manage her condition.
(All dummy information)
Example is for illustrative purposes only.

12. Patient Chart
Using the EMR, Dr. Hamma is able to add a new medication directly from her electronic health record

13. Care Provider Access
In the EMR, the doctor would enter a prescription for Actoplus as he would all prescriptions. He would enter the drug name, the directions, days supply, quantity requested, refills, and the patient’s pharmacy of choice.
Before the e-prescription is transmitted, the EMR triggers a trial claim to compare Actoplus to the patient’s formulary. If the drug is preferred and does not require PA, the e-prescription is routed to the pharmacy. If the drug has lower cost alternatives or requires, PA, the physician is notified immediately.

14. Trial Claim Results
Here you can see the Actoplus would cost Judy $792. PCMS has populated two lower cost alternatives that the provider can choose to select or he can choose to proceed with initiating a prior authorization. By providing this information at the point of prescribing, it allows the doctor and patient to have an informed discussion and determine the best course of treatment without experiencing a rejection at the pharmacy and avoids additional follow up traditionally needed after the patient leaves the provider’s office.

15. Prior Authorization Evaluation
If the provider wanted to proceed with the PA request, he is able to do so in the PCMS platform. When a Prior Authorization is initiated by the provider, the patient specific information is presented, allowing the doctor to enter the required information. If clinical information is required, the doctor can attach any additional information from the EHR electronically. Once all information has been completed, the prescriber will submit and the prescription is placed in a pending queue until the PA approval decision is made. This omits the burden of physicians having a delay in PA notification and allows greater transparency in the prior authorization process, often resulting in a decreased administrative burden for the provider.
This case highlights the true benefits of the EHR integration; the ability to view lower cost alternatives and initiate an electronic prior authorization if needed. This allows the physician to have access to all the information needed to avoid patient surprise at the pharmacy and creates a better overall experience for both the patient and the provider.

16. Appendix
PCMS Link Demo

17. PreCheck MyScript on Link

18. PreCheck MyScript on Link

19. Thank you.
Insurance coverage provided by or through UnitedHealthcare Insurance Company, All Savers Insurance Company, Oxford Health Insurance, Inc. or their affiliates. Health Plan coverage provided by UnitedHealthcare of Arizona, Inc., UHC of California DBA UnitedHealthcare of California, UnitedHealthcare Benefits Plan of California, UnitedHealthcare of Colorado, Inc., UnitedHealthcare of Oklahoma, Inc., UnitedHealthcare of Oregon, Inc., UnitedHealthcare of Texas, LLC, UnitedHealthcare Benefits of Texas, Inc., UnitedHealthcare of Utah, Inc. and UnitedHealthcare of Washington, Inc., Oxford Health Plans (NJ), Inc. and Oxford Health Plans (CT), Inc. or other affiliates. Administrative services provided by United HealthCare Services, Inc., OptumRx, OptumHealth Care Solutions, LLC, Oxford Health Plans LLC or their affiliates. Behavioral health products are provided by U.S. Behavioral Health Plan, California (USBHPC), United Behavioral Health (UBH) or its affiliates.
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