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REIMBURSEMENT TO PDD PLAN CONVERSION RISK ASSESSMENT

The Reimbursement to PDD Plan Conversion Risk Assessment typically includes the following:

Assessment of Liabilities with Conversion to PDD Plan:

• Assessment of Reimbursement Claims Carry-Over
• Modeling of Current "Shoebox" Effect

Assessment of Potential Savings with Conversion to PDD Plan:

• Hospital Use Only Claims Analysis
• Over-The-Counter (OTC) Drug Claims Analysis
• Mark-up on Actual Acquisition Cost (AAC) Analysis
• Drug Type Utilization and Generic Penetration Rate
• Impact of Mandatory Generic Substitution Analysis
• Therapeutic Plan Limits Analysis
• Maintenance Drugs Analysis
• High Users Analysis