Focus on Patients, Choice, Support ©2012 Walgreen Co. All rights reserved. Glen Pietrandoni, R.Ph., AAHIVP Senior Manager HIV/AIDS and Hepatitis Walgreen Co
Dec 17, 2015
©2012 Walgreen Co. All rights reserved.
Focus on Patients, Choice, Support
Glen Pietrandoni, R.Ph., AAHIVPSenior Manager HIV/AIDS and HepatitisWalgreen Co
HIV Care Has Changed in 30 years…
PLWHA deserve high quality care…...not just drugs
• Convenience
• Respect
• Privacy
• Information
• Support
• Choice
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
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
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.
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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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
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
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
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)
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.
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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
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
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.
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THANK YOU !
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