What is Medco Health solution
Medco is a PBM (Pharmacy benefit manager) AIM: improving quality and reducing costs in order to extend access

Mail order pharmacy

Negociate price and service

Pharmacy Hospital

Delegate health care organisation

P.B.M

Negociates price, Formulary

third party administrator of prescription drug programs

Main objectives: Resolve the dilemma of the increase of health care cost
Chronic diseases 96% of drug costs 75% of medical costs Treat with drug

Review management of chronic disease

Advanced pharmacy®: Reducing costs by improving quality
Patient’s service: Medco Health Store™: mail order Reduce cost of drug Extend access of drug Better compliance

http://www.medcohealth.com

Advanced pharmacy®: Reducing costs by improving quality
Patient’s service: Medco specialist pharmacists (guided by clinical management)

Job:

-Screen prescription -Contact physicians and patient

695 million prescriptions administered in 2009

Advanced pharmacy®: Reducing costs by improving quality
Physicians service: Clinical management research

tpatient

pharmacy

physician

Database of 695 million prescriptions analysed each year
The best overall view of american health care

-Determine statistically problems -Provide medical protocol and drug protocol -Look at scientific discoveries and fill the gap between innovation and medical practice.

Federal trademark registration was filed for PRECISION HEALTH SOLUTIONS owned by Medco

What is the state of mind of this program? Physicians determine dose of a prescribe medication through: clinical trial, and adjust error
BUT

It is necessary to have a test that will identify the patient as a responder or nonhttp://www.sciencedirect.com responder https://mitsloan.mit.edu

Cause of bad drug response
Multifactorial:

age gender disease body mass index genetic makeup ...
Personalized medicine: Tailored therapeutics The right patient, the right dose, the