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Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen Co
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Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

Dec 17, 2015

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Page 1: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

©2012 Walgreen Co. All rights reserved.

Focus on Patients, Choice, Support

Glen Pietrandoni, R.Ph., AAHIVPSenior Manager HIV/AIDS and HepatitisWalgreen Co

Page 2: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.
Page 3: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

HIV Care Has Changed in 30 years…

PLWHA deserve high quality care…...not just drugs

• Convenience

• Respect

• Privacy

• Information

• Support

• Choice

Page 4: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

What is best for the HIV consumer?

• Waiting lists• Complex system to navigate• States budgets are tight• More people need access to Rx programs• Drug prices increasing

• Access to pharmacist/pharmacies• Access to skilled professionals• Continuity of care- multiple pharmacies• Co morbidities

PatientAccess to

Drugs

Patient Access to

Choice and Support

Page 5: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

Role of Pharmacists

• Dispensing drug

• Drug experts/ 6 years of education

• In the community

• Support for adherence/ watch for interactions

• Help to manage side effects

• Communication with providers/case managers

• Copay assistance/Billing issues

• Answer question- find solutions

• Privacy & Respect

Page 6: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

We want to be part of the solution-Ending AIDS

Vision StatementWalgreens seeks to become the most trusted national provider of high quality care and support for people living with HIV.

Page 7: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

Understanding HIV Communities

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Shows all wag locations filling HIV Rx/day (at least 1 rx/day). Points to potential COE opportunities.

Visually shows the top HIV filling stores in the market

Shows which wag stores are serving the strongest HIV potential trade areas

Shows HIV competitors reported by market managers – not an exhaustive list of hiv competitors

Shows relative strength across medical buildings in terms of HIV revenue. Points to potential HIV onsite opportunities.

Directionally points to HIV hot spots in the market as a starting point on where best to locate HIV services.

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Page 8: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

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Page 9: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

Walgreens HIV-Specialized Pharmacies

PATIENT CARE

Cultural competency

Specialized training

HIV drugs in stock

Delivery available

Adherence support

Access to financial

assistance

HIV.Walgreens.com

800-573-3602

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COMMUNITY PHARMACIES

HIV RETAIL PHARMACIES

CALL CENTERPHARMACIES

Page 10: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

What is the difference between pharmacies?

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Friendly, empathetic, attentive customer service

Trained pharmacists- face to face options Access- Convenience Inventory in stock Synchronized refills Coordinate billing of co-pays Communicate with providers Give patients adherence tips Participate in community events

Notify patients 3 to 5 days before refills Option for free delivery Certified pharmacists Trained technicians

Page 11: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

Walgreens HIV-Specialized Pharmacies Recognition

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“…Walgreens, America’s largest drug store chain, has designated  more than 500 hundred of its pharmacies as “HIV Centers of Excellence”

” ……”This is how you make a difference ……”doing good and doing well at the same time…”                --Elton John

Page 12: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

Walgreens proprietary systems and HIV processes provide tools for pharmacists to support patient care and adherence

Day 25

Day 37Day 1

Day 55

• Establish regimen• Check for interactions

• Check adherence• Synchronize all Rx dispensing

• Verifiy coverage, copay

• Review regimen• Check for new Rxs & interactions

• Check adherence• Synchronize all Rxs• Bag Rxs together• Verifiy coverage, copay

• Outreach to patients who have not picked up medications

• Review regimen• Check for new Rxs & interactions

• Check adherence• Synchronize all Rxs• Bag Rxs together• Verifiy coverage, copay

Ensure all medications in stock (ongoing)

Page 13: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

Greater than AIDS Public Health Information Campaign Partnership and Materials

Walgreens partners with the Greater Than AIDS public health information campaign to distribute informational resources, operationalize HIV testing events and target community outreach.

Greater Than AIDS aims to increase the public’s knowledge and understanding of HIV/AIDS and confront the stigma surrounding the disease.

Page 14: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

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COMMUNITY ENGAGEMENTPartnered with more than 50 health depts. and ASOs to carry out in-store testing.

GENERATED RESULTS

HIGH VISIBLITY PROMOTIONSIn-store posters, post cards in more than # stores in communities where testing offered; partner outreach and press resulted in additional visibility

Twice as many stores / markets participating as last year; data still being collected, increase in testing and positives

Between June 27-29, 2012 (coinciding with Natl. HIV Testing Day), Walgreens and Greater Than AIDS teamed up to offer free HIV testing in 50 COEs in 20 high incidence markets:

Walgreens Annual HIV Testing Initiative Supports Education on a National Scale in Affected Communities

Page 15: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

Walgreens HIV Community Initiatives

CDC Testing Pilot

HIV MTM

Local/ Ad Hoc Testing

• CDC - funded• Beg early May• Ongoing• CHI, GA, WashDC• Take Care• 200 Test Kits• RPh, NP testing• Walk-in• Q4 Expansion• Other Sites

– Maryland– Oakland– MT Indian Hlth

• 20-30 sites• 10 cities• 1000 patients• Starting Jan 2013• CDC collaboration• Underserved areas

• LA – monthly• Depts Hlth/ASO• Houston• Upcoming year• Depts Hlth/ASO

Page 16: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

HIV in 2012

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After 30 years of HIV and 15 years of highly active anti-retroviral therapy, the HIV treatment and prevention landscape is changing

• Truvada now approved to PREVENT HIV (pre-exposure prophylaxis).

• HIV home test kits have been approved and will be available in our stores late September 2012.

• New “Quad drug” (one pill once-a-day regimen) expected to launch later this summer and a new BOOSTER agent similar to Norvir.

• Generics for HIV drugs are slowly becoming available.

Page 17: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

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THANK YOU !

Page 18: Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen.

Current Locations (555)

Market COEs

Arkansas 3

Arizona 21

California 70

Colorado 10

Connecticut 16

DC 1

Delaware 6

Florida 51

Georgia 24

Illinois 25

Indiana 11

Kansas 2

Kentucky 3

Louisiana 14

Massachusetts 15

Maryland 6

Minnesota 7

Market COEs

Missouri 14

Mississippi 6

North Carolina 12

New Jersey 19

New Mexico 3

Nevada 6

New York 60

Ohio 5

Oklahoma 5

Oregon 5

Pennsylvania 15

Puerto Rico 22

South Carolina 2

Tennessee 25

Texas 48

Utah 1

Virginia 1

Washington 10