Check Drug Cost

Market: Complex patients managing multiple medications

Scenario: A 65-year-old patient receives a prescription for a new medication or experiences changes to an existing prescription. They compare prices at different pharmacies and online sources, aiming to find the lowest cost option before filling the prescription at a nearby pharmacy to save money.

Average Difficulty: Severe (40%+ Range)

81 Outcomes 14% to 93% Difficulty

Research Insights

The study identified specific opportunities for improving the Check Drug Cost experience. While CVS Caremark members face less difficulty compared to the broad market, patients still encounter challenges in various job steps, such as gathering prescription details, determining price accuracy, exploring alternative options, and making decisions on how to fill their medications.

Job Steps

1. Receive new prescription or notification of prescription changes

2. Gather prescription details to check drug cost

3. Provide drug name, dosage, and form

4. Determine if price is accurate/good/bad

5. Explore alternatives when too expensive

6. Make decision how to fill medication (e.g., in store, 30 day, 90 day, or fill by mail, online through website)

Themes Identified

  • Information and Options: Need for increased information about drug formulas, medication availability, and expanded medication listings.
  • Ease of Change: Desire for simplified processes when changing pharmacies due to relocation or cost factors.
  • Decision Support: Importance of enhanced sorting and filtering capabilities for drug details, addressing barriers to medication access, and flexibility in prescription supply management.

Recommendations

  • Enhance information clarity and accessibility regarding drug formulas, availability, and pricing changes to empower patients in making informed decisions about their medications.
  • Streamline the process of changing pharmacies due to relocation or cost concerns, minimizing the time and effort required for patients to adapt.
  • Provide comprehensive search results, including a wide range of pharmacies, medications, and pricing details, while offering intuitive sorting and filtering options.

Cautions

  • Avoid overwhelming patients with excessive or irrelevant drug information, focusing instead on presenting clear, concise, and pertinent details to support decision-making.
  • Refrain from implementing complex or time-consuming processes for patients to update their prescription information or communicate with their doctors about medication changes.
  • Steer clear of limiting patients' options for medication supply, as many express a desire to stock up on prescriptions for various reasons.

Outcomes

The difficulty percent below are the percent of the market that finds this outcome difficult to achieve.

Difficulty Outcome
93% Increase information about different drug pricing in different states
86% Increase my ability to stock up on prescriptions in case of upcoming price change
86% Decrease the impact of medication changes based on location
76% Increase the ease of changing the pharmacy where my medications are delivered when I move
72% Decrease barriers to getting medication (e.g., inability to travel due to disability, social challenges)
71% Increase my ability to stock up on prescriptions when I travel
71% Minimize the risk that I would be shown the wrong drug results (e.g., wrong mix, form, etc...)
70% Increase my ability to sort and filter drug details in results by distance
67% Increase my understanding that coupons can be used instead of my insurance
65% Increase the ease of changing the pharmacy where I pick up medications when I move
64% Maximize the number of available promotions for me
61% Increase my ability to send alternative drug information directly to my doctor
60% Increase the amount of supply I have on-hand (e.g., narrow windows of running out)
59% Decrease the time it takes to change pharmacy if they are too expensive
59% Increase my ability to control the supply (e.g., 30 days, 90 days)
58% Minimize changes to the amount of pills that I am used to getting
55% Increase the likelihood that a pharmacy will reach out if I am prescribed an expensive medication
54% Decrease the time it takes to change how I receive my important drugs (e.g., Mail order, pick up)
54% Increase my ability to sort and filter drug details in results by price (high or low)
53% Increase information about drug formula suitable for me (e.g., manufacturer differences)
53% Increase the number of 120 days or longer supply options
53% Increase the number of prescriptions that are sent by email
51% Minimize the risk that I would misspell the name of the drug
51% Decrease the number of expensive medications that I am prescribed
51% Increase information about why the price changed
50% Increase my ability to select what drug information is displayed
50% Decrease the time it takes to get price information if the drug is not listed
49% Decrease the amount of non-useful drug information
49% Decrease the time it takes to get communication about prescription changes
48% Increase information about cost or supply changes
48% Increase my options if an important medication becomes unavailable
48% Decrease the time it takes for the doctor to call me back
47% Decrease my worries about availability of my medication
46% Increase my ability to forward prescription information (e.g., to a different pharmacy or doctor)
46% Increase information about drug form suitable for me (e.g., liquid, pill, cream)
44% Increase my ability to compare cost of different medication filling options
44% Increase the chances of a lower price option being recommended to me
44% Increase the number of price comparisons sources
44% Increase the details of the cost options (e.g., shipping and fees)
43% Increase the number of different medication options from my doctor
43% Increase the ease of changing pharmacy if they are too expensive
40% Increase the delivery options available to me (pick up, delivery)
39% Minimize the time it takes for a doctor to change my prescription
39% Increase the amount of notice about shipping times
37% Increase the ease of getting medication delivered
36% Increase my opportunities to get my questions answered about a medication change
35% Increase the number of choices of pharmacies and fulfillment options (e.g., pick-up and shipping options)
34% Increase my doctors' respect for what I tell them that I can afford
34% Increase number of pharmacies that carry my medications
34% Increase my understanding that savings opportunities are available
34% Increase the number of prescriptions that are written/printed
33% Minimize time spent managing prescriptions
33% Increase the number of medications listed
31% Increase the visibility of savings between drug options
30% Increase my options if an important medication becomes too costly
30% Increase information about different drug pricing in different pharmacies
30% Increase visibility into my insurance coverage amount when on an expensive drug
30% Increase the visibility of savings based on volume ordering (e.g., 90 day supply instead of 30 day supply)
29% Increase the number of medications that can be auto renewed
28% Increase number of prescriptions that are auto-renewed
27% Increase my ability to manage my prescriptions on my phone
26% Increase my confidence that I am getting the best price
25% Increase my ability to stay on the medication(s) that my body is dependent on
25% Increase the ease of contacting my doctor
23% Increase my opportunities to get my questions answered about a new medication
23% Decrease time it takes to get drug information
23% Increase the accuracy of cost based on my location
22% Increase efficiency of getting prescription information from pill bottle
21% Increase number of prescriptions that are auto-refilled
21% Increase clarity of drug information for my prescription
20% Increase the number of prescriptions that have both the brand and generic name
19% Decrease the distance I need to travel to get the medication
14% Increase the amount of relevant drug information

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