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NPDP Presentation June 2010 Organization of Presentation Statement - - PowerPoint PPT Presentation
NPDP Presentation June 2010 Organization of Presentation Statement - - PowerPoint PPT Presentation
NPDP Presentation June 2010 Organization of Presentation Statement of Problem The Action Program Other Drug Plans Reviewed COVERAGE - Phase 1 COVERAGE - Phase 2 DEFINED LIST OF DISEASES COVERED CONDITIONS COVERED CONDITIONS COVERED
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Statement of Problem
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The Action Program
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Other Drug Plans Reviewed
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COVERAGE - Phase 1
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COVERAGE - Phase 2
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DEFINED LIST OF DISEASES
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COVERED CONDITIONS
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COVERED CONDITIONS
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COVERED CONDITIONS
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COVERED CONDITIONS
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COVERED CONDITIONS
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COVERED CONDITIONS
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COVERED CONDITIONS
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COVERED CONDITIONS
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COVERED CONDITIONS
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COVERED CONDITIONS
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COVERED CONDITIONS
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COVERED CONDITIONS FOR PHASE ONE
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DEFINED MEMBERSHIP
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REGISTRATION PROCESS
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NPDP MEMBERSHIP CARD
FRONT OF CARD BACK OF CARD NOTE: CARDS AVAILABLE FOR COLLECTION FROM MID-JULY
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REGISTRATION PROGRESS
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ADMINISTRATION
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BUSINESS MANAGEMENT
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BUSINESS MANAGEMENT
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PHARMACIES
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PARTICIPATING PHARMACIES
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DRUG BENEFITS
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SPECIAL ARRANGEMENTS
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SUPPLY AND PURCHASE OF DRUGS
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CLAIMS PROCESSING/IT SYSTEMS
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PAYMENTS – FORMULA & TIMING
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PAYMENT SCHEDULE & FORMULA
Band Cost of Drug % Mark-up Fixed Fee 1 0 - $5.00 45% $3.00 2 $5.01 - $25.00 35% $3.00 3 > $25.00 25% $3.00
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COPAYMENTS & COORDINATION OF BENEFITS
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AUDITS
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When will I get my medication?
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HEALTHY PEOPLE PROGRAM
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HEALTHY PEOPLE PROGRAM
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SUMMARY OF KEY POINTS
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SUMMARY OF KEY POINTS
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