October 12, 2011

Pfizer Helpful Answers® is a joint program of Pfizer Inc and the Pfizer Patient Assistance Foundation™

NHMA Congressional Briefing“Prevention Priorities to Reduce Health Disparities and Costs”

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Topics

Uninsured data and statistics

Resources available today: Pfizer Helpful Answers

Future resources: the Affordable Care Act and Essential Benefits

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The need for patient assistance programs

Total Uninsured in the US (2010): 49.6 million (16.3%)

Minority groups disproportionately affected

Group % Uninsured

White 12%

Asian Amer. 18%African Amer. 21%

Hispanic 31%

Nearly half of the uninsured did not fill a prescription in the last year, and 60% had medical problems but did not see a doctor or visit a clinic in the last year

1 in 4 uninsured people don’t fill their prescriptions due to costs

50% of uninsured people with chronic conditions skip medicines

Result: The uninsured wait until conditions become critical – and more complicated and costly to treat

Health ImpactHealth Impact

Sources: Kaiser Commission on Medicaid and the Uninsured, “The Uninsured: A Primer,” October 2009

Families USA “Fact Sheet – Shortchanged by Medical Debt,” November 2009

Kaiser Commission on Medicaid and the Uninsured, “The Uninsured: A Primer,” October 2009

Robert Wood Johnson Foundation: Uninsured Americans with Chronic Health Conditions: Key Findings from the National healthy Interview Survey, May 2005

US Census Bureau: Health Insurance Coverage 2009: Highlights. Received September 10, 2010

The Uninsured in the USThe Uninsured in the US

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Medication Adherence

Half of all patients in the U.S. do not take their medications as prescribed

20% of new prescriptions go unfilled

Annually, 125,000 deaths can be attributed to suboptimal adherence

Medication nonadherence costs an estimated $290 billion per year in emergency-room visits and other avoidable medical expenses in the U.S. representing 13% of total health expenditures

Sources: Haynes, R.B., Ackloo, E., Sahota, N., McDonald, H.P., & Yao, X. Interventions for Enhancing Medication Adherence. Cochrane Database of Systematic Reviews 2008, Issue 2. Art. No.: CD000011. DOI: 10.1002/14651858.CD000011.pub3; New England Healthcare Institute. (2009). Thinking Outside the Pill Box: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.; Remarks of Steven C. Anderson, IOM, CAE, President and CEO, National Association of Chain Drug Stores (NACDS) at the Sebok Pharmacy Lecture at Ohio Northern University on January 19, 2010. Retrieved from http://www.nacds.org/user‐assets/pdfs/2010/newsrelease/SebokLecture.pdf.;

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Pfizer Helpful Answers: helping patients in need get access to Pfizer medicines

Pfizer Helpful Answers (PHA) is a family of assistance programs for the uninsured and underinsured who need help getting Pfizer medicines.

These programs provide Pfizer medicines for free or at a savings to patients who qualify. Some programs also offer reimbursement support services for people with insurance.

1-866-706-2400www.PfizerHelpfulAnswers.com

Available in Puerto Rico and US Virgin Islands

One phone number – one phone call

Someone to talk to (English and Spanish)

The largest and most extensive patient assistance program in the industry

Over 100 Pfizer medicines covered, including brands that have generic equivalents

Best PAP image for 2 years in a row

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More than 475 prescription assistance programs covering over 2,500 medicines

Medicaid

CHIP

Public Prescription Programs

Public Prescription Programs

For example: Refers patients to free/low cost health clinics nearest to patient’s zip code

Health ClinicReferrals

Health ClinicReferrals

Private Prescription Assistance ProgramsPrivate Prescription Assistance Programs

For example:

America’s pharmaceutical research companies launched the program in partnership with health care, physician and patient advocacy groups

1,300 local and national member organizations, including: American Academy of Family Physicians, National Association of Chain Drug Stores, NAACP

+ Over 180 Other

The Partnership for Prescription Assistance

1-888-4PPA-NOW ● www pparx org.. ..

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Barriers to reaching multicultural communities

Language Importance of communicating

in “native tongue” Accurate in-culture

translations, taking into account dialects

Lack of Trust In pharma In medicines

Privacy Concerns Fear of providing personal

data

Partnerships

Go Grassroots

Test and replicate

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Barriers Lessons Learned

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Grassroots

Pfizer Promotores Outreach Program: Empowering volunteers and community health workers to educate uninsured Hispanics and their advocates about Pfizer Helpful Answers, industry-wide patient assistance programs and other health care resources available for the uninsured. Now in 6 locations (TX: Dallas, Corpus Christi, Rio Grande Valley, San Antonio, El Paso; NM: Albuquerque)

Advocacy & Partnerships

Hispanic Federation: Conduct webinars about PHA with participating community partners

Congressional Hispanic Caucus: Distribute information about patient assistance programs

League of United Latin American Citizens (LULAC): Sponsor of annual convention

Nat’l Assoc. of Latino Elected/Appointed Officials (NALEO): Sponsor national conference; participate in health panel and Summit

Health Forums and Events

National Council of La Raza: Sponsor annual conference & Family Health Expo

Global Healthy Living Foundation: Conduct health forums throughout NY metro (’09-’10) and in TX and Chicago (’11)

Earned and Paid Media

Spanish language: • Matte releases• Press releases • Radio Media Tours• Local print ads

Pfizer conducts a significant amount of outreach in the Hispanic community due to the

tremendous need

National Association of Hispanic Nurses: In- depth training about patient assistance programs with chapter Presidents. Partnerships with local chapters in AZ, NM, GA, IL to create Uninsured Health Guides

Spanish Language Materials

• Take Ones• Tear pads• Website• Applications• Call Center• Health Guides

National Hispanic Medical Association: Seat on NHMA Board of Directors; seat on NHHF Corporate Advisory Council and NHHF Board of Directors; regular sponsor of NHMA Annual Conference

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Pfizer Helpful Answers: Helping Every Day

Region People Helped

Pfizer Prescriptions Value

US National 1.1 million 8.1 million $1.3 billion

Region People Helped

Pfizer Prescriptions Value

US National 4.5 million 44 million $5.6 billion

5 Year Data* (2006 – 2010)5 Year Data* (2006 – 2010)

2010 Data*2010 Data*

* Includes Wyeth Patient Assistance Programs data

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9 in 10 Pfizer Helpful Answers participants surveyed say they “always” or “usually” take their medicines as prescribed by their doctor

6 in 10 report that since enrolling in the program, they visit their doctor more often for regular check-ups (twice the rate of the uninsured not using a patient assistance program)

6 in 10 indicate that they keep informed about the latest health information (twice the rate of the uninsured not using a patient assistance program

9 in 10 indicate that participating in the program makes them feel more optimistic about their health

Results of Survey Conducted for Pfizer by Roper Public Affairs:Results of Survey Conducted for Pfizer by Roper Public Affairs:

Pfizer Helpful Answers: Impact on health behaviors

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Patient advocate resources available

www.PfizerHelpfulAnswers.com

Click on: “Community Resources” tab on toolbar to view materials available for download or order

Examples of materials available:

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Over 30 million people will gain health care coverage by 2019

With the implementation of health reform legislation, over 30 million people who are uninsured today will have coverage by 2019:

Source: Congressional Budget Office and the staff of the Joint Committee on Taxation, 3/20/2010

50 51 51 51 51 51 52 53 53 54

50 51 50 50

32

26

22 22 22 22

0

10

20

30

40

50

60

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

Nu

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f U

nin

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Current w ith HR

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Medicaid and the Exchanges will play a major role in reducing the uninsured by

2019

EmployerSponsoredInsurance

58%

Uninsured19%

Medicaid/CHIP - 12%

Private/non-Group

11%

EmployerSponsoredInsurance

55%

Uninsured8%

Medicaid/CHIP - 18%

Private/non-Group

9%

Exchanges9%

Without Reform With Reform

Total: 282 million non-elderly

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Robust Essential Benefits package will be critical to the success of Health Exchanges

Comprehensive &consistent

Affordableaccess

Affirm choiceof treatment

Ensure that a broad range of patient populations with diverse disease states and health care needs have access to a similarly wide range of treatment options, including pharmaceutical treatments, regardless of age, gender, ethnicity, disability, health care needs, and specific categories of disease and dysfunction.

Ensure providers will be able to make treatment decisions based on clinical evidence and individual patient’s needs.

Affordable access to care is important to improve health outcomes and potentially lower health care expenditures

• High patient out-of-pocket costs and high copayments can cause people to delay or forgo needed treatment: For each 10% rise in patient cost sharing, medicine use fell between 2 and 6% (2007 review in Journal of the American Medical Association)

Foster newtreatments and

innovation

Inclusion of new treatment options in essential benefits packages should be presumptive and automatic once they are FDA-approved and available to the market to ensure patient access to the best available treatment is without delay