Focus on Patients,
Choice, Support
Glen Pietrandoni, R.Ph., AAHIVP
Senior Manager HIV/AIDS and Hepatitis
Walgreen Co
©2012 Walgreen Co. All rights reserved.
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?
Patient
Access to
Drugs
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•
•
•
•
Waiting lists
Complex system to navigate
States budgets are tight
More people need access to Rx programs
Drug prices increasing
Patient
Access to
Choice
and Support
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•
•
•
Access to pharmacist/pharmacies
Access to skilled professionals
Continuity of care- multiple pharmacies
Co morbidities
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 Statement
Walgreens 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.
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Visually shows the top HIV
filling stores in the market
Shows which wag stores are
serving the strongest HIV
potential trade areas
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10
Shows HIV competitors reported
by market managers – not an
exhaustive list of hiv competitors
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10
Shows relative strength across
medical buildings in terms of HIV
revenue. Points to potential HIV
onsite opportunities.
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7
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6
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
COMMUNITY
PHARMACIES
HIV drugs in
stock
Delivery
available
Adherence
support
HIV RETAIL
PHARMACIES
Access to
financial
assistance
HIV.Walgreens.co
m
800-573-3602
CALL CENTER
PHARMACIES
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What is the difference between pharmacies?
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
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Walgreens HIV-Specialized Pharmacies Recognition
“…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
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Walgreens proprietary systems and HIV processes provide
tools for pharmacists to support patient care and adherence
Day 1
• Establish regimen
• Check for
interactions
• Check adherence
• Synchronize all Rx
dispensing
• Verifiy coverage,
copay
Day
25
• Review regimen
• Check for new Rxs
& interactions
• Check adherence
• Synchronize all Rxs
• Bag Rxs together
• Verifiy coverage,
copay
Day
37
• Outreach to
patients who have
not picked up
medications
Day
55
• 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.
Walgreens Annual HIV Testing Initiative Supports
Education on a National Scale in Affected Communities
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:
COMMUNITY ENGAGEMENT
Partnered with more than 50 health depts.
and ASOs to carry out in-store testing.
HIGH VISIBLITY PROMOTIONS
In-store posters, post cards in more than # stores in
communities where testing offered; partner outreach and
press resulted in additional visibility
GENERATED RESULTS
Twice as many stores / markets participating
as last year; data still being collected,
increase in testing and positives
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Walgreens HIV Community Initiatives
CDC Testing
Pilot
• 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
Local/ Ad
Hoc Testing
• LA – monthly
• Depts Hlth/ASO
• Houston
• Upcoming year
• Depts Hlth/ASO
HIV
MTM
• 20-30 sites
• 10 cities
• 1000 patients
• Starting Jan 2013
• CDC collaboration
• Underserved areas
HIV in 2012
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 !
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Current Locations (555)
Market
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
Missouri
COEs
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
