We guarantee our prescription savings in writing. 15% guaranteed savings.

• Prescription Benefit sold direct to the employer.
• Contract and negotiation is direct with the employer.
• Negotiate fees directly with KRM.
• KRM will work hand-in-hand with your group.
• Contract your personal pharmacy network, drug exclusions, co-pay plan design, flexibility.

• Our formulary is based upon the best drug for the least cost.
  We are not owned by a pharmaceutical company or an insurance company therefore, we can develop a more cost effective formulary.
• Our plan designs are developed to provide incentives to the employee to choose a generic drug. Let us develop a more effective prescription plan design for you.
• Our discount partners, our pharmacy network, allows us to provide a competitive discount at the retail level. 90-day supply can be offered at our retail partners for those employees that do not want to use our mail service.
• Our generic therapeutic program is unique in that:
  • KRM looks at the brand name drug products that are me-too's. Me-too's are branded drugs made by competing drug manufacturers that provide the same therapeutic value as ones on the market. Most times there is a me-too drug product that has lost its' patent and a generic is available. (e.g. Protonix, Prilosec)
  • There are drug products in a class of drugs (e.g. Cardiac) that will have a generic therapeutic drug for the one that is currently dispensed. KRM provides this information in written form or contacts the employee and the Physician to consider the change.

The Second Step:
1)	This information is mailed to the employee or the employee is contacted by one of our service representatives.
2)	The physician is also notified by mail and called for the generic therapeutic changes.
3)	The financial savings to the employee and employer are shown on the printed material sent to them.
This program is very effective because it empowers the employee and the physician to make a better educated decision when choosing a drug.

KRM Advantage Services
•	50,000 pharmacy network. National and Preferred Pharmacy Networks.
•	On-line detailed prescription reports on website. We can tailor reports for your needs.
•	You can add and terminate eligibility on-line.
•	Your employees can look up on-line services.
•	Mail Service. Fax, Mail, Phone or e-mail reorders 24 hours a day, 7 days a week.
•	You will reach a live operator on our easy to use phone system.
•	Prescription cards produced with your name.
•	We phone the Physician and pharmacy for your members new or refilled prescriptions.
•	Flexible customized prescription plan designs.
•	Direct contract with you the employer, no middleman.
•	Trackability of DUR, Therapeutic Changes, Mail Service competency.
•	Your own worker compensation prescription program.

To survive and excel in a competitive business arena, you have to improve efficiency, innovate, develop new products and provide personalized customer service. KRM has done just that and are positioning ourselves to be one of the leaders in managing mail prescription benefits for Employers. One area we have concentrated on is the significant savings that can be achieved in the Mail Service Pharmacy.

The KRM Advantage

•	KRM prescription program is simply put; to increase generic utilization. Our drug formulary and plan design help our partners to achieve a 20% or more increase in generic utilization. Everyone can recognize that a generic drug is going to cost less than the same drug in its branded form. Generics can save up to 70% of the cost of brand name medications. We have developed a cost effective way to increase generic utilization by technological advances and our company owned software.
•	KRM has developed a prescription software program that can control and sustain drug costs. This is very important today, as drug costs are increasing twice as much as hospital costs a year. Eventually, drugs will be the largest part of healthcare costs for employers if current drug costs continue to grow.
•	KRM has developed a successful program where we are able to educate the Physician to prescribe a generic therapeutic alternative drug for a branded product that does not have a generic available. What this means is that there are generic medications available that are in the same therapeutic class as a Branded drug whose patent has not yet expired.

Generic Therapeutic Alternative Prescription Program

•	KRM clinical pharmacy staff identifies brand name medications in a class of drugs (e.g. anti-inflammatory) where there is another branded medication with a generic available. These two medications are therapeutically used to treat the same disease. A call of fax is sent to the Physician for approval. The Physician reviews the patient's file and calls or faxes the approval or disapproval back.
•	We are experiencing a 75% return for approvals.
•	The savings achieved by splitting a higher strength mediction for a lower strength is 45%. We are seeing a 70% approval by the employee
•	KRM has developed another program to educate the employee about alternative choices they can make to save them more out-of-pocket money. This program is mostly successful when the employer participates. KRM supplies supporting data reports to the Employer on a quarterly basis. We produce in house a copy of a drug benefit plan design that shows the employee where he/she can get their best value. We are also available to speak to the employees upon renewal about the prescription program.
•	KRM MAC's generics in the mail. We have set maximum allowable costs in our mail service. The average MAC is up to AWP - 82%.

Our biggest difference between RxMPSS and the other vendors is the Generic Therapeutic Program we developed; we are not dependent upon manufacturer's rebates to decide what medications will be preferred. Along with a good prescription plan design, RxMPSS can demonstrate savings to 20% or more and will put that in writing. Guaranteed!

Therapeutic Equivalent Prescriptions Savings Program

Many brand name medications that do not have an FDA approved generic do, in fact, have a therapeutic equivalent medication that does.

Many Physicians are not aware of these therapeutic equivalent generics. MedsBUYMail will contact the Physician and explain and educate the Physician about these medications.

The medications are for the exact same therapeutic disease but are manufactured by a competing drug company.

THese medications have been available for over 5 years and have been shown safe and effective, where as, the newer medications (brands without a generic) have not been on the market long enough to demonstrate their effectiveness.

The savings are tremendous. Please see the Table below.

Table 1

90-day supply of the top drugs utilized today.

Brand Name Drug	Qty	Price	Therapeutic Equivalent	Qty	Price	Savings
Premarin 1.25	90	$113.92	Estropipate	90	$25.03	$88.89
Celebrex 200mg	90	$256.43	Oxaprazosin 600mg	180	$76.63	$179.80
Accupril 20mg	90	$115.85	Lisinopril 20mg	90	$33.86	$81.99
Lescol XL 80 mg	90	$215.37	Lipitor 40 mg	45	$157.14	$58.23
Tricor 160mg	90	$275.41	Gemfibrozil 600mg	180	$66.11	$209.30
Amaryl 4mg	360	$396.56	Glyburide micr 3mg	360	$23.06	$373.50
Paxil CR 25mg	90	$250.44	Paroxetine 30mg	90	$173.36	$77.08
Actos 15mg	90	$297.40	Metformin 500mg	90	$42.77	$254.63
Toprol XL 50mg	90	$69.67	Metoprolol 50mg	90	$12.38	$57.29
Prevacid 30mg	90	$388.90	Omerperazole 20mg	90	$222.82	$166.08
Paxil 20mg	90	$250.50	Fluoxetine 20mg	90	$44.04	$206.01
Zoloft 50mg	90	$237.16	Zoloft 100mg	45	$122.08	$115.08
Lipitor 20mg	90	$303.30	Lipitor 40mg	45	$157.14	$150.16
Total	$3,174.91		Total	$1,156.42		$2,018.04
64% savings
**There are many more.

Workers Compensation

Worker Comp Program

1. Consistent pricing - the price charged to you will be the same from all pharmacies in our network for any one drug. 2. Pre-audit program - KRM audits each prescription (electronically) before it is dispensed to the employee.

▪ The pre-audits allow KRM to discuss generic utilization issues with the pharmacy or physician before dispensing. ▪ The pre-audit program immediately identifies prescription abuse. ▪ The pre-audit program immediately identifies drug interactions, refills to soon, and multiple Physician prescribing, allowing only work related medications to be processed. ▪ Detailed reporting sent to insurance carrier or employer every 2 weeks, reducing the paperwork headache of loose claims, slow claims, and indecipherable claims. ▪ KRM pays the pharmacy vendors. ▪ Mail service deep discounts for work comp related chromic conditions. ▪ Medical supplies available at a specialized discount for work comp related chronic conditions.

There is a Microsoft Power Point© presentation related to workers compensation. Click on the links below to view the presentation. To navigate from slide to slide or action to action within a slide, click the left mouse button with the cursor positioned within the slide. For more information, call RxMPSS at 1-800-438-2014.

Click here to view the Workers Compensation presentation.

To survive and excel in a competitive business arena, you have to improve efficiency, innovate, develop new products and provide personalized customer service. KRM has done just that and are positioning ourselves to be one of the leaders in managing prescription benefits for Employers.

There is a Microsoft Power Point© presentation related to G-TAP the Generic Alternative Therapeutic Program. Click on the links below to view the presentation. To navigate from slide to slide or action to action within a slide, click the left mouse button with the cursor positioned within the slide. For more information, call RxMPSS at 1-800-438-2014.

Click here to view the G-TAP Generic Therapeutic Alternative Program presentation.

The KRM Advantage KRM secret to success is simply put; to increase generic utilization.  Our formulary, plan design, generic therapeutic program and discount can help our partners to achieve a 20% - 40% reduction in drug costs by increasing the generic utilization.   Our formulary is based upon the best drug for the least cost. We are not owned by a pharmaceutical company or an insurance company therefore, we can develop a more cost effective formulary. Our plan designs are developed to incent the employee to choose a generic drug. Let us develop a more effective prescription plan design for you. Our generic therapeutic program is unique in that it looks for a generic availability in brand name me too products along with generics that are available for a branded drug. This information is mailed to the employee or the employee is contacted by one of our service representatives. The physician is also notified by mail or called for the therapeutic changes. The financial savings to the employee and employer are shown on the printed material. Our discounts can be shown to reduce prescription costs because of our partners acceptance by as much as 40%.   KRM Advantage Services 50,000 pharmacy network. National and Preferred Pharmacy Networks. Online detailed prescription reports on website. We can tailor reports for your needs. Eligibility additions and terminations online. Online services for the employee. Mail Service. Fax, Mail, Phone, or Email reorders 24 hours a day, 7 days a week. Easy to use phone system and easy to reach a live operator. Prescription cards produced with sponsor's name. We phone the Physician and pharmacy for new or refilled prescriptions. Customized Prescription Plan Designs.