Guardian Angel opioids program reaching members at critical time

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Health care should be personal, and it should help us during our most vulnerable, difficult times. There are few instances when this type of support is more necessary than when people end up in the emergency room because of a problem they can’t control any more.

Unfortunately, we are seeing this scene play out more and more frequently across the country. Emergency department visits for opioid overdoses rose 30 percent in all parts of the United States from July 2016 to September 2017, according to the Centers for Disease Control and Prevention. In order to address one of the biggest public health issues of this generation, we don’t just need to do more – we need to think differently about how to solve this problem. We have to connect with people during the times that they are amost receptive to help, such as after an overdose.

Aetna recently launched the Guardian Angel program, which is intended to reach our members during this critical time. As soon as we learn that a member has had an opioid-related overdose, a specially-trained case manager – a registered nurse that used to work in an addiction unit and is a certified Mental Health First Aid instructor – reaches out to educate that person on treatment options in their area. While our nurse case manager can refer the member to a local health care provider, they can also provide access to nearby social support services. More than anything else, they can serve as a lifeline for members and their families.

The first “Guardian Angel” nurse case manager has connected with hundreds of overdose victims over the past few months. Through her outreach, we are seeing the widespread nature of this epidemic: Individuals as young as 18, up to those in their 60s, from every corner of the country. But we are also seeing people who want help. We have been able to initially engage with 40 percent of the people that we have reached out to, which is two- to three-times greater than our usual rate for telephone-based care management programs.

Much more important than the numbers, we are hearing stories of people starting on a road to recovery. Some examples:

  • A 22-year-old woman from Colorado who had two overdoses on fentanyl-laced heroin, now attending group therapy five times a week.

  • A 63-year-old woman from Ohio who has battled a painkiller addiction for more than a decade, agreeing to start treatment and connect with local health care specialists.

  • A 38-year-old man from Missouri – a single father with a nine-year-old daughter – who asked our nurse case manager about starting on Medication Assisted Treatment (MAT) immediately.

While these stories are encouraging, we understand that they are just a small step, and that we need to work with all parts of the health care system to address this epidemic. With that in mind, the Aetna Foundation recently announced two grants totaling $1 million to the Florida Alcohol and Drug Abuse Association (FADAA). Conducted in collaboration with the Florida Hospital Association and the Florida College of Emergency Physicians, the effort is intended to provide individuals with opioid use disorder with access to treatment services at a time when there is the greatest opportunity to intervene and address the addiction. This follows the model we developed with grants earlier this year in North Carolina and Pennsylvania, working with state leaders and community organizations to develop local solutions.

These programs, along with other elements of Aetna’s multi-faceted approach to reduce opioid use and abuse, won’t solve the opioid epidemic on their own. But we know that they can positively impact people’s lives. And I know from personal experience how important that type of support can be. After I suffered a severe skiing accident in 2004, doctors prescribed me a number of opioid-based painkillers. While it never got to the level of addiction, I absolutely needed help to figure out a way to manage my pain without prescription medication. I was fortunate enough to meet people that helped me along my journey, and I’m forever grateful to them. My hope is that some of our members who are in these situations will eventually have the same types of feelings about the Aetna “guardian angel” that made a difference in their lives.

NoteThis article has also been posted to the U.S. News & World Report website.

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CVS Health names more U.S. cities for HealthHUB expansion

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CVS Health today announced plans to bring its new HealthHUB® store format to more U.S. markets in the first half of 2020 as part of a nationwide expansion. The HealthHUB format will come to select CVS Pharmacy locations in the following cities and states: Boston, Dallas/Fort Worth, Maryland, North Carolina, Ohio and Virginia.

The company also said it plans to add HealthHUB locations in other major metropolitan markets in Florida, and deploy a limited expansion in Hartford, New York City and Washington D.C., also in the first half of next year.

“We’re thrilled to be bringing HealthHUBs to more regions and zip codes,” said Kevin Hourican, Executive Vice President, CVS Health and President of CVS Pharmacy. “Our customers tell us they want local access to convenient, personalized and integrated health care support and services. HealthHUB delivers on that ask and we can’t wait for customers in these communities to benefit from a better health care experience.”

In June, and as part of the company’s accelerated growth strategy, CVS Health announced plans to open approximately 50 additional HealthHUB locations in Atlanta, Houston, Philadelphia, southern New Jersey and Tampa this year, with up to 1,500 HealthHUB locations planned to be operating by the end of 2021.

“Our customers tell us they want local access to convenient, personalized and integrated health care support and services,” said Kevin Hourican, President of CVS Pharmacy. “HealthHUB delivers on that ask and we can’t wait for customers in these communities to benefit from a better health care experience.”

Representing a major transformational initiative resulting from the combination of CVS Health and Aetna, HealthHUB is a first-of-its-kind community-based store concept focused on helping customers get well — and stay well — by offering a broader range of healthcare services, wellness products and services, trusted advice and personalized care, all with the ease of walking right into a local CVS Pharmacy.

CVS Health says its expansion plans are predicated on the performance of its 3 HealthHUB pilot stores in Houston, Texas. Early results show pilot stores exceeding initial business projections as measured by increases in front store sales, MinuteClinic visits per day and prescriptions dispensed. Importantly, overall customer satisfaction with pharmacy and front store are also meaningfully higher in HealthHUB locations than the rest of the company’s retail network.

Added Hourican, “Our customers love the new format. And by creating a unique health care experience that meets consumers where they are and helps them achieve their best health at a lower cost, we’ve set the stage for our company to compete and win in an industry that is rapidly transforming.”

To learn more about the products and services available through our new store format, visit our HealthHUB website.

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New Workforce Innovation and Talent Center opens in Cleveland

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A group of people cut the ribbon at the Workforce Innovation and Talent Center in Cleveland.
Representatives from the CVS Health Workforce Initiatives team and the Centers for Families and Children cut the ribbon on the new Workforce Innovation and Talent Center in Cleveland.
Photo of a mock pharmacy.
The Workforce Innovation and Talent Center includes a mock pharmacy where students will receive hands-on pharmacy technician training.
Photo of a classroom.
Classroom space in the Workforce Innovation and Talent Center.
Photo of a mock retail store.
The mock retail space is where students will practice skills needed for employment as retail associates.

A new CVS Health training center in Ohio is giving underserved populations in that area increased access to jobs in health care.

The new Workforce Innovation and Talent Center, which opened in Cleveland on June 25, is located in the headquarters of the Centers for Families and Children.

The center, which will host hands-on training programs for individuals looking for meaningful employment as pharmacy technicians and retail associates, includes classroom space, as well as a mock pharmacy and mock store.

“CVS Health is committed to helping underserved populations, including individuals with disabilities, mature workers, youth, veterans and dislocated workers,” said David Casey, Vice President for Workforce Strategies and Chief Diversity Officer. “By helping connect individuals with the job skills they need to gain stable employment, we are building healthier and more thriving communities across Ohio and the country.”

The new Workforce Innovation and Talent Center is one of five training centers of its kind across the country and one of 22 workforce programs that CVS Health operates with partners in the state of Ohio.

Our nationwide training centers and other programs administered by our Workforce Initiatives team are integral to our broader effort to attract, train, hire and retain colleagues that are representative of our large and diverse base of customers and patients.

At the new Workforce Innovation and Talent Center, the Center for Families and Children will work with CVS Health to place interested individuals into the appropriate training programs.

Those who enter the program will receive classroom and hands-on training in life and job skills such as training and customer service, stocking shelves and working at the cash register. The center is installed with real equipment and participants will work closely with trained staff to learn about the roles and responsibilities of front store and pharmacy technician positions.

Participants will also have access to support services offered by the Center for Families and Children, including health care and early childhood education, to help them be successful in their new careers.

Individuals who complete the program qualify to apply for a position at CVS Pharmacy.

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Aetna announces call for nominations for Aetna's Voices of Health competition

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HARTFORD, Conn., April 1, 2019 /PRNewswire/ -- Aetna, a CVS Health business, today announced they are seeking nominations for the company's 2019 Voices of Health competition, which celebrates non-profit grassroots organizations working to address social determinants of health. The nomination period runs from April 1st 12th.

"We are excited to give people the opportunity to nominate incredible organizations that are moving the needle to help underserved communities find the resources they need in order to live healthier, happier lives," said Floyd W. Green, Aetna's vice president of community activation.

Nominations are open to non-profit organizations in the following cities:

  • New York City
  • Atlanta, GA
  • Charlotte, NC
  • Cincinnati, OH
  • Cleveland, OH
  • Columbus, OH
  • Detroit, MI
  • Fresno, CA
  • Houston, TX
  • Jacksonville, FL
  • Kings County, WA
  • Los Angeles, CA
  • Louisville, KY
  • Lancaster, PA
  • Philadelphia, PA
  • Pittsburgh, PA
  • Inland Empire, CA (San Bernardino and Riverside)
  • Santa Clara, CA
  • Miami, FL
  • Tacoma, WA

Following the nomination period, an internal Aetna committee will select between five to 10 organizations in each city to participate in the upcoming Aetna's Voices of Health competition, which begins on September 9th.

Voices of Health is a friendly voting competition that will take place in all 20 markets, where non-profits will be vying for prize money to help further their missions. More information on the Voices of Health competition will be shared in the coming months.

For official rules and criteria or to submit a nomination, visit aetnavoicesofhealth.com

About Aetna

Aetna, a CVS Health business, serves an estimated 39 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental and behavioral health plans, and medical management capabilities, Medicaid health care management services, workers' compensation administrative services and health information technology products and services. Aetna's customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, visit www.aetna.com and explore how Aetna is helping to build a healthier world. @AetnaNews

Aetna Media Contact:

Anjie Coplin
CoplinA@aetna.com
214-200-8056

SOURCE Aetna

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CVS Health Statement on Ohio Auditor of the State’s Report on Pharmacy Benefit Managers

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CVS Caremark works hard every day to help its Ohio Medicaid clients manage their drug costs and make it possible for Medicaid recipients to have access to the vital medications that they need.  Overall, PBMs have saved Ohio taxpayers $145 million annually by servicing the state’s Managed Medicaid plans, even as drug manufacturers’ prices have continued to rise.

Ohio’s Medicaid expenditure per prescription is more than 13% below the collective average costs of states that manage their own program versus using a PBM.

We remain committed to continuing to work together with the state and the managed-care plans to improve the system, lower drug costs and serve the health care needs of Ohioans. 

When reviewing the Ohio State Auditor’s report on PBMs released this morning, it is important to keep the following facts in mind:

  • Government-mandated rebates in the Medicaid program are shared by the states and the Medicaid program. PBMs do not receive and, therefore, do not keep any of those mandated rebates. CVS Caremark also passes 100% of any supplemental rebates to our Ohio Managed Medicaid clients. In other words, we do not keep any amount of a drug manufacturer’s rebate for Medicaid prescriptions in Ohio. 

  • Counting the number of pharmacy closures does not paint the full picture, because it does not take new pharmacy openings into account, nor the growth of independent pharmacies within our PBM network. Independent pharmacies make up about 40% of all of the pharmacies in our national network. And we’ve added 63 independent pharmacies in Ohio to our network in just the last three years.

  • CVS Health maintains stringent firewall protections between our CVS Pharmacy retail business and our CVS Caremark PBM business to prevent any anti-competitive activity by either side of our enterprise.

  • Under the pricing model chosen by our Ohio Managed Medicaid clients, the “spread” paid to CVS Caremark is in lieu of our clients paying a separate administrative fee, and it funds vitally important benefit management services we provide to clients, such as clinical and customer support, programs to improve medication adherence, management of the drug formulary, and other services.  However, we are actively working with our Ohio Managed Medicaid clients to restructure our contracts to implement the new “pass-through” pricing model requirement, effective January 1, 2019.

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Tackling the Opioid Epidemic at the Community Level

Tackling the Opioid Epidemic at the Community Level
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With a presence in nearly 10,000 communities across the United States, CVS Health recognizes the importance of fighting the opioid epidemic at the local level, with local solutions.

That’s why, among the many ways CVS Health is working to mitigate the epidemic, we have committed funding to organizations across the country to support prevention, treatment and recovery efforts.

Supporting Community Health Centers Nationwide

In September 2017, CVS Health announced an enterprise-wide, multi-pronged approach to help find solutions to the national opioid abuse epidemic. Those efforts included the nationwide expansion of our drug disposal collection program, an increase in the availability of naloxone without a prescription and the enhancement of our pain medication utilization management program to ensure prescription opioids are used properly.

Also included was a $2-million commitment by the CVS Health Foundation, to the National Association of Community Health Centers (NACHC), to increase access to medication-assisted treatment and other recovery services at community health centers around the country. To-date, we have funded more than 20 community health centers through this program.

Among the recipients of that grant support were:

  • Total Health Care in Baltimore, a community health center dedicated to supporting opioid addiction recovery was awarded $85,000 to develop and implement a trauma informed care model which will increase participation in its substance abuse treatment program.

  • The Greater Lawrence Family Health Center, in Lawrence, Massachusetts, received $80,000 to develop a protocol to train their team on the screening, brief intervention and referral to treatment (SBIRT) approach to addiction. SBIRT is an evidence-based practice used to identify, reduce and prevent misuse and abuse of alcohol and drugs.

  • Four California community health centers received a total of $330,000 to increase access to opioid addiction treatment and recovery services.

Expanding Community-Level Support

In addition, CVS Health has awarded grants to several other non-profit organizations nationwide that are tackling this public health challenge.

These grant recipients include:

  • Three New Hampshire non-profit organizations received $60,000 in grants to address and prevent opioid abuse.

  • New Jersey-based Morris Country Prevention Is Key was given funding from CVS Health to host two peer recovery specialist training cohorts. The training provided 55 specialists the opportunity to share knowledge in one-on-one, group, emergency room and correctional facility interventions, as well as become law enforcement response assistants throughout the state.

  • In Ohio, two clinics – Neighborhood Family Practice in Cleveland and Rocking Horse Children’s Health Center in Springfield – received a total of $100,000 for programs supporting patients and families struggling with substance abuse.

  • Two Arizona non-profit organizations, ICAN and El Rio Health, received a total of $115,000 from CVS Health to support their prevention and medication education programs.

  • And in CVS Health’s home community of Rhode Island, where the company’s corporate headquarters are located, opioid-related grants have been awarded to the United Way, Community Care Alliance, the Rhode Island Disaster Medical Assistance Team, RI PBS, and Bradley Hospital.

CVS Health is committed to helping put an end to the national opioid abuse epidemic, in part by connecting those who are struggling with addiction with the resources they need to regain good health. In supporting community partners through grants like these, CVS Health is working to expand access to the community-level prevention, treatment and recovery programs that serve as the frontline in this crisis.

An exterior shot of the Greater Lawrence Family Health Center
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CVS Pharmacy Completes Statewide Rollout of Time Delay Safes in Ohio Stores

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More than 160 additional CVS Pharmacy stores in Ohio now using time-delay safe technology

Implementation of time delay safes in Ohio is the latest in a series of measures taken by CVS Health to combat the opioid epidemic in the state

WOONSOCKET, R.I., Oct. 18, 2018 /PRNewswire/ -- CVS Pharmacy, the retail division of CVS Health (NYSE: CVS), announced today that it has begun using time delay safes in all of its 329 stores in Ohio, including pharmacies in Cleveland, Akron and Toledo. The safes help prevent pharmacy robberies and combat the ongoing opioid epidemic by keeping controlled substance narcotic medications from being misused or abused by keeping them out of the hands of unauthorized individuals. In addition, the safes will help CVS Pharmacy ensure the safety and well-being of its customers and employees.

Controlled substance narcotic medications that are sought after by robbers, such as oxycodone and hydrocodone, are now stored in time delay safes in every CVS Pharmacy store in the state of Ohio. Time delay safes help deter pharmacy robberies by electronically delaying the time it takes for pharmacy employees to be able to open the safe. In 2017, stores in Cincinnati, Columbus and Dayton began using time delay safes. Since those safes were installed, CVS Pharmacy has seen a 50 percent drop in pharmacy robberies in those markets.

"The installation of time delay safes at pharmacies in several of our Ohio markets has proven to be a deterrent for pharmacy robbers," said Alisa Ulrey, Division Vice President of CVS Pharmacy in Ohio. "We know that time delay safes, combined with other security policies and procedures in place at our stores, have drastically reduced robberies in our pharmacies and we are pleased to be able to implement them in all of our Ohio stores."

"The battle against the opiate epidemic continues locally and across the state of Ohio. The fight isn't over," explained Sheriff George T. Maier. "But, with each new resource and each new partnership developed we take another step towards victory. I commend CVS for answering the call to action and playing a role in the ongoing effort to create safer communities."

The time delay function cannot be overridden and is designed to serve as a deterrent to would-be pharmacy robbers whose goal is to enter and exit their robbery targets as quickly as possible. All CVS Pharmacy locations with time delay safes are displaying highly-visible signage to inform the public that time delay safes are in use to prevent on-demand access to controlled substance narcotics.

The implementation of time delay safes across CVS Pharmacy stores in Ohio is the latest in a series of measures put in place by CVS Health to help combat prescription drug abuse in the state of Ohio. CVS Health's commitment to preventing and addressing prescription drug abuse also includes community education, efforts to encourage safe disposal of unused medication and increasing access to the opioid overdose-reversal drug naloxone. The company's Pharmacists Teach program brings CVS Pharmacists to schools across the country to talk to students about the dangers of prescription drug abuse. More than 400,000 students across the country, including more than 15,000 in Ohio, have participated in the program.

CVS Health has also completed installation of 29 safe medication disposal units in CVS Pharmacy stores in Ohio, in addition to the 38 units it has donated to Ohio law enforcement agencies. Nationwide, 750 safe medication disposal units have been installed in CVS Pharmacy locations, adding to the more than 900 units the company has donated to law enforcement agencies. In total, the company has facilitated more than 1,650 units nationwide, which have collected more than 480,000 pounds, or 217 metric tons of unwanted medication, including more than 18,000 pounds, or more than eight metric tons in Ohio alone. Increasing community access to safe medication disposal helps rid homes of unused medications that could otherwise be diverted, abused or contaminate the water supply if disposed of improperly.

Additionally, CVS Health has worked with 48 states including Ohio to increase access to the opioid overdose-reversal drug naloxone, also known as Narcan. Patients can obtain this life-saving medication, which is a safe and effective antidote to opioid overdoses, without an individual prescription in these states.

About CVS Pharmacy

CVS Pharmacy, the retail division of CVS Health (NYSE: CVS), is America's leading retail pharmacy with over 9,800 locations. It is the first national pharmacy to end the sale of tobacco and the first pharmacy in the nation to receive the Community Pharmacy accreditation from URAC, the leading health care accreditation organization that establishes quality standards for the health care industry. CVS Pharmacy is reinventing pharmacy to help people on their path to better health by providing the most accessible and personalized expertise, both in its stores and online at CVS.com. General information about CVS Pharmacy is available at http://www.cvshealth.com.

Media Contact:

Amy Lanctot
(401) 770-2931
Amy.Lanctot@CVSHealth.com

SOURCE CVS Pharmacy

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CVS Health Statement on Ohio Department of Medicaid's Pass-Through Pricing Requirements

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WOONSOCKET, R.I., Aug. 14, 2018 /PRNewswire/ -- CVS Health (NYSE: CVS) is actively working with its Ohio Managed Medicaid clients to restructure its contracts to implement the Ohio Department of Medicaid's new "pass-through" pricing model requirement, effective January 1, 2019. Contrary to an inaccurate news report in The Columbus Dispatch, which was later picked up on social media, the pharmacy benefit managers (PBMs) servicing Ohio's Managed Medicaid Plans have not been "fired."

PBMs have saved Ohio taxpayers $145 million annually through the services they provide to the state's Medicaid managed care plans. CVS Health will continue to help its Ohio Medicaid clients manage their drug costs and improve their members' health outcomes in 2019 and beyond.

About CVS Health

CVS Health is a pharmacy innovation company helping people on their path to better health. Through its more than 9,800 retail locations, more than 1,100 walk-in medical clinics, a leading pharmacy benefits manager with approximately 94 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year, expanding specialty pharmacy services, and a leading stand-alone Medicare Part D prescription drug plan, the company enables people, businesses and communities to manage health in more affordable and effective ways. This unique integrated model increases access to quality care, delivers better health outcomes and lowers overall health care costs. Find more information about how CVS Health is shaping the future of health at https://www.cvshealth.com.


Media Contacts:

Christine Cramer
401-770-3317
christine.cramer@cvshealth.com

Mike DeAngelis
401-770-2645
michael.deangelis@cvshealth.com

SOURCE CVS Health

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CVS Health Expands Safe Drug Disposal at CVS Pharmacy Locations in Ohio to Help Combat Opioid Abuse

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Company also announces $85,000 grant to Neighborhood Family Practice in Cleveland to support addiction recovery

WOONSOCKET, R.I., April 19, 2018 /PRNewswire/ -- CVS Health (NYSE: CVS) announced today that the company has expanded its safe medication disposal program to locations inside 28 CVS Pharmacy locations in Ohio to help facilitate proper and timely disposal of opioids and other medications that could otherwise be diverted or misused. The CVS Health Foundation will also provide an $85,000 grant to Cleveland's Neighborhood Family Practice, a network of community health centers, to support opioid addiction recovery.

"CVS Health is dedicated to addressing and preventing opioid abuse and misuse in the communities we serve," said Thomas G. Davis, R.Ph., Vice President of Professional Services for CVS Health. "We are expanding our safe medication disposal efforts to provide more locations where people can safely dispose of unwanted medications, getting them out of medicine cabinets where they could be abused. Our safe medication disposal initiative, and our funding for community organizations supporting addiction recovery in Ohio, are an extension of CVS Health's purpose of helping people on their path to better health."

The 28 new medication disposal units that have been installed inside CVS Pharmacy locations in Ohio will supplement the 33 units CVS Health has previously donated to police departments across the state. Nationwide, the company has donated more than 850 units to police departments, collecting more than 140 metric tons, or 300,000 pounds of unwanted medication.

The $85,000 grant being awarded to Neighborhood Family Practice in Cleveland is another part of CVS Health's focus on preventing and addressing opioid abuse. Neighborhood Health Care will use these additional resources to enhance screening for substance use disorders and to enter into a comprehensive partnership with a substance use disorder treatment center, allowing appropriate referral for all patients identified as needing services following screening.

"The funding we've received from the CVS Health Foundation is allowing us to provide essential integrated substance use prevention and treatment services to individuals with low income and lack of access to care," said Jean Polster, Neighborhood Family Practice's President and CEO. "Through this support, we are better able address the opioid epidemic in Ohio, which is critical to delivering a healthier community."

The expansion of safe medication disposal to a total of 750 CVS Pharmacy locations across the U.S. was included among the enhancements to the company's strategy to address and prevent opioid abuse announced in September 2017. As part of that effort, the company also said it would enhance opioid utilization management aligned with CDC Guideline for CVS Caremark clients and members, complementing measures already in place. This work builds on ongoing programs the company operates including the Pharmacists Teach program, which brings CVS Pharmacists to local schools to talk to teens and parents about the dangers of abusing prescription drugs. More than 300,000 teens nationally including nearly 14,000 in Ohio have already participated in the program. CVS Health has also worked to expand access to the opioid overdose-reversal drug naloxone in 46 states, including Ohio.

The 28 new medication disposal units are located at the following CVS Pharmacy locations:

Akron
590 East Market St.

Dublin
7470 Sawmill Rd.

Springfield
2987 Derr Rd.

     

Beavercreek
1331 North Fairfield Rd.

Euclid
22001 Lakeshore Blvd.

Toledo
4121 Monroe St.

     

Berea
212 West Bagley Rd.

Garfield Heights
11223 Granger Rd.

Waverly
210 E. Emmit Ave.

     

Canton
2210 West Tuscarawas St.

Hamilton
28 N. Brookwood Ave.

West Chester
7217 Cincinnati-Dayton Rd.

     

Cincinnati
17 William H. Taft Rd.

Lakewood
11706 Clifton Blvd.

Westerville
620 S. Cleveland Ave.

     

Cleveland
2007 Brookpark Rd.
3728 Pearl Rd.

Lancaster
111 South Memorial Dr.

Whitehall
4548 E. Main St.

     

Columbus
4801 W. Broad St.

Middletown
820 S. Breiel Blvd.

Willoughby
6005 Som Center Rd.

     

Dayton
3920 Linden Ave.

Parma
5812 Ridge Rd.

Woodville
100 E. Main St.

     

Dennison
21 Grant St.

Pickerington
1100 Hill Rd. N

Youngstown
2846 Mahoning Ave.

 

About CVS Health

CVS Health is a pharmacy innovation company helping people on their path to better health. Through its more than 9,800 retail locations, more than 1,100 walk-in medical clinics, a leading pharmacy benefits manager with more than 94 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year, expanding specialty pharmacy services, and a leading stand-alone Medicare Part D prescription drug plan, the company enables people, businesses and communities to manage health in more affordable and effective ways. This unique integrated model increases access to quality care, delivers better health outcomes and lowers overall health care costs. Find more information about how CVS Health is shaping the future of health at www.cvshealth.com.

Media Contact:

Erin Shields Britt
Corporate Communications
(401) 770-9237
Erin.Britt@CVSHealth.com

Mary Gattuso
Corporate Communications
(401) 770-9811
Mary.Gattuso@CVSHealth.com

SOURCE CVS Health

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CVS Health Statement Regarding Ohio Department of Medicaid's Report on PBM Performance for Managed Care Plans

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WOONSOCKET, R.I., June 21, 2018 /PRNewswire/ -- CVS Health (NYSE: CVS) is pleased that a report issued today that was commissioned by the Ohio Department of Medicaid (ODM) on pharmacy benefit manager (PBM) performance for the state's Medicaid managed care plans confirms that our PBM, CVS Caremark, does not provide preferential pricing to CVS Pharmacy that would create an anti-competitive advantage over independent pharmacies.

The report's analysis of our claims data clearly shows that CVS Caremark reimburses independent pharmacies at a higher rate than CVS pharmacies are reimbursed, and that CVS Caremark pays a higher dispensing fee to independent pharmacies than it pays to CVS pharmacies.

We believe CVS Caremark's "spread" of 8.70% - which is significantly lower than was previously reported by news media that used only selective samples - is very reasonable, given that this pricing model is in lieu of our managed care clients paying an administrative fee for the PBM services we provide, and it provides our clients with stability and certainty around their drug costs by guaranteeing their rate. A significant portion of the "spread" we receive pays for vitally important clinical services and other benefit management services we provide to clients.

It is important to note that in 2017, CVS Caremark's overall net profit margin was only 3.5%, and in the first quarter of 2018 it was just 2.4%.

The report raises interesting questions about the benefit of managed Medicaid plans moving to a "pass-through" pricing model. We agree with the report's recommendation that more analysis is needed. The report's data analysis concludes that under the Managed Care model, Ohio's Medicaid program saved $145 million annually in prescription drug costs as compared to its former fee-for-service pricing model.

Ultimately, clients choose the pricing option that best meet their individual needs. We look forward to discussing this report in more detail with our managed Medicaid clients, ODM and Ohio's elected officials.

We are extremely pleased that the ODM report validates that accusations made by some Ohio independent pharmacies are without merit, and are not supported by the report's data analysis performed by an independent third party.

MEDIA CONTACT:

Mike DeAngelis
CVS Health Corporate Communications
401.770.2645

SOURCE CVS Health

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