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MedBox, LLC
Business Plan




                MedBox, LLC
                1561 Carman Valley Drive
                Manchester, MO 63021
                314-369-2988
                David@MedBox.com
                www.MedBox.com
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
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
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.
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
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
The Delivery Model
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
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
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.
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

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Med Box

  • 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