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40113 ChoiceRx ePub short

Run: 08/22/2012 GDR Potential GDR.PDF CLMNDC Date Range: 06/01/2011 to 05/31/2012 Client: <Sample Report - CLIENT NAME HERE> Generic Dispensing Rate Based on # of Rxs SUBMITTED 2013 2014 2015 TOTAL ALL RXs: 9,491 9,491 9,491 9,491 TOTAL Brand RXs: 2,150 1,941 1,852 1,768 TOTAL Generics RXs: 7,341 7,550 7,639 7,723 Projected Generic Dispensing Rate (GDR): 77.3% 79.5% 80.5% 81.4% Note: Projected GDR is based on brand name drugs losing patent with the potential that not all prescriptions will be filled generically, and expects no change to program. Brand Rx Conversion Calculation (# Brand Rx times ...): Brand Losing Patent in Year Measured: 25.00% Brand Losing Patent in Year Before Measure Year: 50.00% Brand Losing Patent 2 Years Before Measure Year: 65.00% Brand Losing Patent 3 Years Before Measure Year: 80.00% Brand Losing Patent More than 3 Years Before Measure Year: 90.00% Run: 08/22/2012 CLAIMS AUDIT & REVIEW Page 1 CLMPHA Claims Count for Non-Contracted Pharmacy (PHA) PHA_NO_K.PDF Date Range: 06/01/2011 to 05/31/2012 Client: <Sample Report - CLIENT NAME HERE> PHAID PHA NPI Chain Pharmacy Name City ST Zip County Type Claims % Rx 3410824 1245446905 00000A75 PIEDMONT HEM ONC ASSOCIATES WINSTON SALEM NC 27103 FORSYTH RETL 6 0.06% 4912463 1710102264 00000000 HARBORVIEW MEDICAL CENTER SEATTLE WA 98104 KING RETL 6 0.06% 4612013 1669767356 00000000 EVEREST PHARMACY SANDY UT 84070 RETL 5 0.05% 1447526 1396720074 00000000 LOVINS HOMETOWN PHARMACY ALBION IL 62806 EDWARDS RETL 2 0.02% Contract Status: Stores Share: Claims Share: Contract Status: Claims Share: Contracted Pharmacies: 773 99.36% 9,460 99.80% Contracted Pharmacies + Mail Service: 9,460 99.80% Not Contracted Pharmacies: 3 0.51% 19 0.20% 7


40113 ChoiceRx ePub short
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