1. MedBox, LLC
Business Plan
MedBox, LLC
1561 Carman Valley Drive
Manchester, MO 63021
314-369-2988
David@MedBox.com
www.MedBox.com
2. C. David Butler, PharmD, MBA
25 years in pharmacy informatics, including:
Chief Information Officer – Option Care, Inc.
Led the development of first nationwide case management software system for home
infusion services
Clinical Program Management Director – Express Scripts, Inc.
On initial management team launching www.yourPharmacy.com - sold for $600 million
Led the launch of www.DrugDigest.org on Express Scripts website
Created consumer-oriented drug interaction Web pages recommended by National Library of
Medicine
Published computerized medical decision-making research in leading
journals
Received NIH SBIR grant approval for first drug-monitoring software
7 years teaching at Washington University in St. Louis School of Engineering:
graduate course in Database Management Systems
undergraduate course in Web Development
Have connections with leaders in:
American Medical Informatics Association,
American Society of Health System Pharmacists,
National Community Pharmacists Association,
McKesson’s HealthMart Pharmacies,
Healthcare Information Management Systems Society
3. The Problem
Patients must:
Drive to a doctor for a diagnosis but no treatment
Drive to a pharmacy for treatment but no diagnosis
Doctor doesn’t know if patients get treatment or not
Information about outpatient prescription compliance is one
of the biggest holes in patient care information
75% of people prefer picking up prescription at doctor*
Healthcare insurance plans believe current community
health care processes contribute to:
poor treatment
increased healthcare costs
customer dissatisfaction
*http://www.washingtonpost.com/wp-dyn/content/article/2007/10/26/AR2007102602484.html
4. The Solution
MedBox ADR requires no effort from the physician or patient; the online pharmacist handles all data entry.
Here is your
Hi,
May I see your prescription. Do
I have a
insurance card you have questions
prescription to
and credit card for the pharmacist?
be filled.
please?
Sure, let
me get
Yes, where
that for
can I get
you.
refills?
I can help you with
You can use this
You can find MedBox
that. May I have the
MedBox or the one
in convenient
prescription please?
at your local
locations at your
grocery store. See
local grocery store.
We’ll seethere.
you you there.
5. The Market
Over 3 billion prescriptions annually and growing
Over $200 billion in prescription sales and growing
200,000 office-based general practice physicians
60,000 pharmacies, dominated by two groups (30%
share each):
23,000 chain pharmacies – growing faster, but half of
revenues are from high-margin, “out front” merchandise
23,000 independent community pharmacies – generate
almost $100 billion in prescription sales, but looking for
ways to compete – this is our initial target market
Another 1/3 consist of discount stores and grocery stores
– this can be a subsequent target market
6. The Business Model
MedBox sells to the local pharmacy:
$10-15K/MedBox ADR, plus
$1/prescription transaction fee
185-day breakeven
Pharmacy or Insurance leases local
5-10 mile radius
physician office-space at $10K/year
MedBox ADRs will locate:
Initially
Small, single unit for solo practices
In the future:
Medium-sized or multiple units for group-practice settings
Larger, refill unit for strategic partners:
Grocery stores
Discount department stores
Senior retirement centers
MedBox sells Managed Care, Pharmaceutical Manufacturers and practitioners analyses from
consolidated diagnosis and treatment compliance data
Local pharmacy maintains inventory and just-in-time prescription services
for 20-30 physician offices
MedBox maintains the database, software, hardware and video connections
8. Value Propositions
A patient can:
Save time
Start treatment earlier
Have better care
Talk to the pharmacist
A physician can:
Offer patients treatment in the office
Gain additional revenues
Improve monitoring of refill compliance
Create a technologically-advanced practice
Ignore or interact with the MedBox ADR
9. The Pharmacy Gain
Increased prescription revenue
Capture first-fill prescriptions at the doctor’s office
10-40% of new prescriptions are never filled*
Another two-thirds go to chains and others
Increase prescription refills
Half of chronic medications are not refilled*
Incentivize physicians who improve compliance
Reduced inventory
Inventory is specific to physician’s practice
Reduced operational expenses
Expensive high-traffic “street corner” unnecessary
Redundant safety check
Robot database verifies the right drug for the right patient
* 1) Haynes RB, Taylor DW, Sackett DL (eds). Compliance in health care. The John Hopkins University Press: Baltimore, 1979;1-7. 2) Variations in Patient
Compliance with Common Long-Term Drugs. Thomas S. Inui, William B. Carter, Roger E. Pecoraro, Robert A. Pearlman and Jyl J. Dohan. Medical Care,
Vol. 18, No. 10 (Oct., 1980), pp. 986-993 (article consists of 8 pages) Published by: Lippincott Williams & Wilkins
10. Pharmacy Breakeven
ADR Purchase $15,000
Physician Lease 10,000
Inventory for Initial Fill* 14,800
Start-up Expense $39,800
* 100 medications/ADR x 4 prescriptions in stock for each medication x $37 cost/prescription
Prescription Gross Profit/Day** $ 216
Number of business days to break even** x 185
185-day Gross Profit $39,960
** 18 prescriptions/day x ($50 revenues - $37 COGS - $1 transaction fee per prescription).
Outpatient general practice physicians see 12-20 patients/day and prescribes 2-12
medications to approximately 2/3 of those.
11. Contact
C. David Butler, PharmD, MBA
President
MedBox, LLC
1561 Carman Valley Drive
Manchester, MO 63021
Phone: 314 369 2988
FAX: 636 230 2988
David@MedBox.com
www.MedBox.com