Diplomat Is More

Proprietary information of Diplomat Pharmacy Inc. Subject to change without notice. Copyright © 2015 by Diplomat Pharmacy Inc. All rights reserved.

TOGETHER, WE CAN DO

MORE.


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“Take good care of patients

and the rest falls into place”

DALE HAGERMAN

DIPLOMAT CO-FOUNDER


CONTENTS

Welcome to Diplomat

Overview

Benefits investigations

Copay assistance

Adherence tools

Patient experience

Medicare expertise

Nationwide delivery

Questions or concerns

Getting started

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The nation’s largest independent specialty pharmacy.



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Diplomat provides high-touch, personalized care and treatment programs for:• Crohn’s disease

• Cystic fibrosis

• Growth hormone deficiency

• Hemophilia

• Hepatitis

• Hereditary angioedema

• HIV/AIDS

• IVIg/SCIg

• Multiple sclerosis

• Oncology

• Osteoporosis

• Psoriasis + psoriatic arthritis

• Respiratory syncytial virus

• Rheumatoid arthritis

• Transplant

• Ulcerative colitis


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SPECIALTY PHARMACY: STEP BY STEP

This chart shows the steps between a prescription arriving at Diplomat and its delivery to your patients.

Proprietary information of Diplomat Pharmacy Inc. Subject to change without notice. Copyright © 2015 by Diplomat Pharmacy Inc. All rights reserved. di

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Prescription arrives at Diplomat

Prescription delivered to your patient

Benefits

Funding by third parties

Prior authorization

Appeals

File created for the patient

Low to no co

pay

Funding obtained for the patient

Prior authorization

needed

Appeal needed

High-dollar copay

High

-dolla

r copay

START HERE


LIFECYCLE OF A PRESCRIPTION


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Diplomat | Together, we can do more.5

OFFICE EXPERIENCESingle point of contact.

With Diplomat, you get a direct line—one person you can reach whenever you’d like a patient update.

Customized communication.

We offer updates to your office in the ways that work for you. Fax, phone, email—you decide, and we honor it. We can send updates if:

• Patient exceeds a permissible gap in therapy

• Patient reports discontinuation without your consent

• Side effects occur or become difficult to manage



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ore.The effect of our care is more than an outcome

IT’S AN IMPACT. One patient at a time.



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Diplomat | Together, we can do more.

“I am a mother.

I am a long-distance swimmer.

I have multiple sclerosis.

I am not defined by my illness.

I know the Diplomat difference.”

VICKI | MULTIPLE SCLEROSIS



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ASHLEY | PATIENT CARE COORDINATOR


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Ben

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COMPLETE BENEFITS INVESTIGATIONS One key barrier to specialty medications: the expense. To help, our staff of experts works with insurance providers, so we can help patients receive the maximum benefit through their policy.

Prior authorization support is taken care of.

With specialty pharmaceuticals, you often need approval from the insurance company before a prescription can be filled. This can require paperwork, procedure and phone calls—and we have a team in place to help.

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We understand every part of the process, from step edits …

Insurance providers may require a patient to use certain therapies before covering alternative products. Our PA team works with the physician office to provide the needed documentation, including records of previous attempted therapies or reasons particular medications are prescribed in this case. Ultimately, the physician’s first choice is our first choice—and we support you as a partner in the process.


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… to appeals and benefits investigation.

For patients who need to appeal an insurance company’s decision, Diplomat’s benefits investigation team is ready to help. Our experts work with you, your patient and their insurance company, from start to finish. Diplomat patients aren’t left to navigate insurance and benefits on their own—we work alongside them every step of the way, and attempt up to three appeals to try to gain approval. We also submit clinical documentation, if available, to support timely approval.

APPEALS SUCCESS RATE

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JEWELLS | MULTIPLE MYELOMA

“Working with Diplomat

reminds me of going

to your local drug

store and talking to

your pharmacist who

knows you by name.”



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Fun

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COSTS SHOULDN’T PREVENT CAREDiplomat’s funding experts work with patients to help cover out-of-pocket medication costs and copays.

Manufacturer copay assistance programs can help reduce costs.

Our funding team stays up-to-date on programs available to patients. Copay cards and discounts are often available directly from the drug manufacturer for eligible patients. We work tirelessly to find every available opportunity for our patients.


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ng Help is available—you just have to know where to look.

There are hundreds of organizations and foundations out there that provide assistance for patients. Who has time to keep track of them all or know who provides what to which patients? Diplomat does.

Our funding team works day in and day out, making connections, tracking down information and finding opportunities for our patients. Not only will we work to find the financial assistance our patients need, we assist in completing the paperwork on the patient’s behalf. WE OFFER TO QUALIFYING PATIENTS:

• Complete benefits investigation

• Manufacturer copay cards

• Manufacturer free drug programs

• Direct billing to foundations

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JOHN | CIDP

“When I first heard about

Diplomat, I was very

skeptical, that this smaller

[subcutaneous] dose—a

quicker treatment with

fewer side effects—was

actually going to help

...I was surprised.”



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COMPLEX TREATMENTS MADE SIMPLEWith the right tools, patients can achieve better adherence to therapy. We help patients stay on their medications by providing an array of packaging options to fit their needs and lifestyles.


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Our exclusive blister-packaged CarePak™ makes staying on therapy more convenient. Daily oral medications, customized to patient-specific regimens, are placed in individual clear plastic pill cups in calendar format, labeled for day and time each dose should be taken. Adjunctive therapy, such as aspirin, can be included, too.

Now, a patient taking multiple medications with varying monthly

dosing schedules can easily follow complicated therapies, and

caregivers can quickly see which medications have

been taken and whether any were missed.

CarePak™ organizes multiple medications for simple, at-a-glance adherence.



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Prepackaged daily doses can offer discreet therapy maintenance, even on the go.

Imagine the improved adherence a patient could achieve if his or her monthly medication was delivered in a roll of daily time- and dose-specific packets. With our customized packaging, a patient can take the right dose at the right time—no matter where they are.


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Smart pill bottles can keep patients on track.

Not every pill bottle can relay patient information via satellite, or flash to let a patient know he or she missed a dose. GlowCaps™ can. When a dose is one hour late, the bottle’s cap alerts the patient by flashing red. At two hours late, the cap plays ringtones. At three hours, the patient receives a phone call reminding them to take their medication. When a dose is missed entirely, alerts can go to Diplomat, the provider and the patient to help the patient resume therapy.


Diplomat does not manufacture nor provide any warranties or representations regarding the functionality or use of GlowCap™.


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GUIDED CARE FOR BETTER ADHERENCEPatients need to get on therapy quickly—and stay on it. At Diplomat, we’re part of the care team, working one-on-one with patients, caregivers and physicians to break down barriers to adherence.


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WILL | PHARMACIST


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Caring for one patient at a time.

PATIENT EXPERIENCE BEHIND THE SCENES AT DIPLOMAT

Medication prescribed Receive prescription via fax, electronic prescription or

phone; have pharmacist ensure clinical accuracy; and

enroll patient into our system.

Welcome call • Conduct onboarding to:

• Verify benefits

• Collect demographics

• Confirm shipping information

• Facilitate any needed funding coordination

• Provide patient education

• Answer any questions the patient may have for treatment as prescribed

• Do benefits investigation on patient’s behalf.

• Complete prior authorization, if needed.

• File an appeal if claim is rejected. Compile clinical trials, white papers and other documentation to make a case for treatment as prescribed.

Delivery scheduled Have a pharmacist verify order to ensure accuracy,

appropriate therapy and to monitor drug interactions.

Medication received Ship medication.

Follow-up call Call to schedule refills, offer clinical help

and gauge adherence.



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“I appreciate everyone who goes above and beyond for me. Five stars all the way to Diplomat! Thank you.”

—JAIME | MICHIGAN



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Start patients on the right foot for better long-term results.

When faced with a new specialty therapy, patients may be overwhelmed by complex treatments and possible side effects. We help prepare and empower patients starting treatment because an educated patient is a more adherent patient. And better adherence can lead to healthier lives.

We reach out to patients before their first fill to:

Complete a health history

Set therapy expectations

Offer pharmacist or nurse consult as needed.

Provide drug and disease education including injection training

Share side-effect management strategies

Review all medications

Go over initial supplies shipped


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“When my mom started taking multiple medications daily, the CarePak™ helped her take the right pills at the right time. It gave me peace of mind, knowing she was adhering to her treatment.”

—ROSEMARIE | MICHIGAN



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e Starter kits: preparation from day one.

To help prep patients for success, we provide drug-specific starter kits with each first fill, including:

TIP CARDS Easy-to-read cards developed by our clinical pharmacists cover pertinent drug information, disease state overviews or side-effect management techniques.

SIDE-EFFECT MANAGEMENT TOOLS

Diplomat supplies OTCs, including moisturizing creams or anti-diarrheal tablets, to prepare patients in case of side effects.

CONTACT INFORMATION

Important safety information and telephone numbers for Diplomat and the manufacturer are included.

SHARPS CONTAINER:

If the prescription is for an injectable medication, a sharps container will be included for safe disposal of needles.



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Nonstop support, just a phone call away.

Our team rallies the efforts of pharmacists, nurses, technicians and care coordinators to help patients and caregivers with any therapy issues or billing questions. We make follow-up calls each month to assess a patient’s success in managing his or her side effects, offering continuous, hand-in-hand support. Through it all, our team is here to encourage and reassure your patient with care, kindness and compassion.


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Proactive adherence calls keep patients connected and physician’s offices in the know.

Our care coordinators make adherence calls at the start of treatment and on an ongoing basis. We do this to support patients, gauge adherence and offer a pharmacist or nurse for questions if necessary.

MIKE | PHARMACIST



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MEDICARE NAVIGATION HANDLEDFor many patients, Medicare billing and benefits can seem like a maze. Our dedicated team guides them hand-in-hand, helping find the coverage they need.

Streamlined process for patients and providers.

After decades of experience, we consider ourselves professional red-tape wranglers. We research plan drug benefits, file claims and collect reimbursement on behalf of the patient—all in a system designed to work efficiently and effectively.


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MALLORY | PHARMACY TECHNICIAN


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Medicare expertise reduces treatment barriers.

For those in the Medicare “doughnut hole”—the Medicare Part D prescription drug coverage gap—continuing medication can be a struggle due to high copays. Our dedicated team helps Medicare Part D patients fill out applications for any available and applicable copay assistance.


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Hassle-free Medicare reimbursement assistance.

The complexity of reimbursement can present ever-changing challenges. We bill directly to foundations, so qualified patients don’t have to pay out-of-pocket and wait to be reimbursed.


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MEDICATION ANYWHERE, ANYTIMEWith delivery coordination, we make sure patients get the right medication at the right time—and in perfect condition.

Shipping made easy.

The best way to stay on therapy? Have medications delivered hassle-free to the patients’ home, physicians office or even vacation destination—overnight if necessary. Our goal: Make sure medications are delivered safely to patients on time every time. Before each shipment, our patient care team reaches out to patients to verify the shipping address and arrange delivery around the patient’s schedule.


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Temperature-controlled for safe delivery, no matter the destination.

Temperature-sensitive medications arrive safely to the patient’s door year-round, worry-free. Our shipping team watches for changing weather and follows packaging and handling protocols—including packaging all specialty infusion shipments with thermal pouches.


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Proactive refills put patients first.

We never auto-ship refills. Before a prescription is due to run out, a patient care coordinator calls the patient to:

• Check for excess medication

• Process refill

• Schedule convenient delivery

• Update health history

• Conduct verbal adherence assessment

If the patient doesn’t have refills remaining, we contact the prescribing physician proactively—before renewal is needed—to verify therapy and obtain a new prescription on the patient’s behalf so there’s no interruption in therapy.


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With delivery recovery, a lost package doesn’t mean a missed dose.

When it comes to specialty medications, missing treatment is not an option. Our shipping resolutions team has partnered with a logistics carrier to intercept packages as necessary, track shipments and schedule redeliveries when needed. Some temperature-controlled medications, such as hemophilia therapies, are monitored from beginning to end to ensure delivery.


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“All the meds arrived perfectly... As a retired nurse, I was quite impressed with how well it was packaged and labeled with excellent instructions.”

—LYNDA | CALIFORNIA



QUESTIONS OR CONCERNS?

Call us 24/7.

Medications each bring their own set of challenges. Will they interact? Are there food limitations? Are there side effects? Our team of patient care coordinators, nurses and pharmacists are there for you and your patients.

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AMANDA | PATIENT CARE COORDINATOR


TONY | STAFF PHARMACIST


GETTING STARTED IS SIMPLEYour patient is just three easy steps away from our specialized care:

Complete the enrollment form.

Download enrollment form at diplomat.is/rxforms. Once the form has been completed, it must be signed by the prescriber. Then, it’s ready to send.

Fax it to us toll-free.

800.550.6272When we receive the form, we’ll verify your patient’s benefits and initiate prior authorizations. Whenever necessary, we’ll send updated information to your office as needed. If we can’t process the prescription, we’ll forward it to the appropriate contracted pharmacy. Either way, we’ll send you an update on each patient within 24 hours.

We take care of the rest.

At Diplomat, we work with your team to improve patient care and adherence. We’ll keep you posted every step of the way.

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REFERENCES

1. Prior Authorization Report, 20142. Appeals Report, 20143. Yearly Funding Report, 2014


Diplomat Is More

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