Five accompanying tables referred to in the April 23, 2002 PolyMedica report.

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Asensio & Company, Inc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PolyMedica Corporation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Table I: Monitor Market Survey

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maker

Model

Product

Manufacturer's per unit List Price1

 

Average Retail Price2

 

Retail margin

 

High retail price

 

Low retail price

 

Diabetic express.com

 

Mail-order margin

Abbott Diagnostics

Medisense

Precision QID

39.95

 

49.95

 

25.03%

 

49.95

 

49.95

 

49.95

 

25.03%

 

 

Precision Xtra

59.95

 

73.48

 

22.57%

 

76.99

 

69.97

 

64.95

 

8.34%

 

 

Sof-Tac

180.00

 

199.98

 

11.10%

 

199.99

 

199.97

 

194.95

 

8.31%

 

 

Optium3,4

 

 

 

 

 

 

 

 

 

 

46.29

 

 

Roche Diagnostics

Accu-Chek

Advantage

55.00

 

65.24

 

18.62%

 

69.99

 

59.99

 

59.95

 

9.00%

 

 

Complete

95.00

 

113.49

 

19.46%

 

119.99

 

104.97

 

97.95

 

3.11%

 

 

Compact

60.00

 

74.49

 

24.14%

 

79.99

 

69.97

 

64.95

 

8.25%

 

 

Active

15.00

 

19.24

 

28.23%

 

19.99

 

16.97

 

17.95

 

19.67%

Home Diagnostics

Prestige

LX

 

 

 

 

 

 

 

 

 

 

9.95

 

 

 

 

co-branded IQ

 

 

14.49

 

 

 

14.99

 

13.99

 

 

 

 

Bayer

Glucometer

Elite XL4

 

 

54.71

 

 

 

59.99

 

48.99

 

49.95

 

 

 

 

DEX

 

 

68.74

 

 

 

72.99

 

61.99

 

64.95

 

 

Johnson & Johnson

Lifescan

One Touch Basic

 

 

52.49

 

 

 

54.99

 

49.99

 

44.95

 

 

 

 

One Touch Sure Step

 

 

63.99

 

 

 

67.99

 

59.99

 

59.95

 

 

 

 

One Touch Profile

 

 

106.06

 

 

 

109.99

 

102.13

 

97.95

 

 

Therasense

Freestyle

Freestyle4

 

 

73.28

 

 

 

74.99

 

71.57

 

64.95

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Wholesale list prices from each manufacturer.

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Average of two to four retail prices found on Walgreens.com, CVS.com, Eckerd.com, Riteaid.com and Savon.com.

 

 

 

 

 

3. PolyMedica's sales agent offers the Medisense Optium and a Home Diagnostics monitor for "free." 

 

 

 

 

 

 

 

 

4. Diabeticexpress.com offers the Medisense Optium, Elite XL and Therasense Freestyle for free with purchase of 100 test strips.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prepared by: Asensio & Company, Inc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date: April 23, 2002

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

___________________________________________________________________________________________________________________________________

 

Asensio & Company, Inc.

 

 

 

 

 

 

 

 

 

 

PolyMedica Corporation

 

 

 

 

 

 

 

 

 

 

Table II: Test Strip Market Survey

 

 

 

 

 

 

 

 

 

 

Maker

Model

                 Product1

Manufacturer's per unit List Price2

 

Estimated Retail Price3

 

Retail margin

 

Diabetic express.com

 

Mail-order margin

Abbott Diagnostics

Medisense

Precision QID

34.50

 

43.99

 

27.51%

 

36.46

 

5.68%

 

 

Precision - 100 pack

63.50

 

79.99

 

25.97%

 

64.95

 

2.28%

Roche Diagnostics

Accu-Chek

Advantage

34.25

 

39.49

 

15.30%

 

35.95

 

4.96%

 

 

Comfort Curve

34.75

 

44.99

 

29.47%

 

36.99

 

6.45%

 

 

Compact - 51 pack

35.00

 

42.99

 

22.83%

 

37.95

 

8.43%

 

 

Active

23.75

 

29.99

 

26.27%

 

25.95

 

9.26%

 

 

Simplicity

33.50

 

44.99

 

34.30%

 

35.99

 

7.43%

 

 

Instant

31.00

 

39.99

 

29.00%

 

33.99

 

9.65%

 

 

Easy

33.00

 

38.99

 

18.15%

 

35.99

 

9.06%

Home Diagnostics

Prestige

CVS4

8.90

 

24.95

 

64.30%

 

 

 

 

 

 

Prestige

 

 

 

 

 

 

27.50

 

 

Bayer

Glucometer

Elite

 

 

 

 

 

 

35.59

 

 

 

 

Elite - 100 pack

 

 

 

 

 

 

61.99

 

 

Johnson & Johnson

Lifescan

One Touch

 

 

39.49

 

 

 

 

 

 

Therasense

Freestyle

Freestyle

 

 

39.99

 

 

 

35.99

 

 

 

 

Freestyle - 100 pack

 

 

69.99

 

 

 

64.99

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Fifty count packages, unless otherwise inicated.

 

 

 

 

 

 

 

 

 

2. Wholesale list prices from each respective manufacturer.  Pharmaceutical Buyers, Inc. (a drug store buying group)

    contract price is $24.50 or 29% less than the $34.50 manufacturer's list price for Precision QID test strips.

 

 

 

 

 

 

 

 

3. Retail prices from Walgreens.com and CVS.com.

 

 

 

 

 

 

 

 

 

4. Estimate of wholesale cost to CVS.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prepared by: Asensio & Company, Inc.

 

 

 

 

 

 

 

 

 

Date: April 23, 2002

 

 

 

 

 

 

 

 

 

 

 

___________________________________________________________________________________________________________________________________

 

Asensio & Company, Inc.

 

 

 

 

 

 

 

 

 

 

 

 

PolyMedica Corporation

 

 

 

 

 

 

 

 

 

 

 

 

Table III:  Medicare National Procedure Code Summary1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Monitors2

 

Test Strips3

Year

Allowable Payment

Actual Payment Amount

Number of payments

 

Average allowable

Average payment

 

Allowable Payment

Actual Payment Amount

Number of payments

 

Average allowable

Average payment

2001 4

23,171,073

17,444,823

355,621

 

65.16

49.05

 

611,570,298

465,142,685

16,820,147

 

36.36

27.65

2000

20,375,715

15,297,108

326,039

 

62.49

46.92

 

496,259,892

376,384,934

14,205,270

 

34.93

26.50

1999

21,626,083

16,199,834

370,998

 

58.29

43.67

 

408,834,855

310,500,315

12,176,811

 

33.57

25.50

1998

18,229,238

13,958,409

308,868

 

59.02

45.19

 

314,254,352

240,943,289

9,878,573

 

31.81

24.39

1997

9,369,968

7,093,931

151,970

 

61.66

46.68

 

252,063,695

192,526,475

6,772,083

 

37.22

28.43

1994 5

 

 

 

 

 

 

 

102,000,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.  All figures are from CMS' National Healthcare Expenditures & Statistics

 

 

 

 

 

 

 

 

2.  Medicare procedure codes:

E0607:  Blood glucose monitor home

 

 

 

 

 

 

 

 

 

 

E0609:  Blood glucose monitor with special features

 

 

 

 

 

 

 

3.  Medicare procedure code:

A4253:  Blood glucose/reagent strips

 

 

 

 

 

 

 

 

4.  Monitor and test strip information in 2001 is 95% complete.

 

 

 

 

 

 

 

 

 

 

5.  Data from June 2000 Department of Health and Human Services' Office of Inspector General report.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prepared by: Asensio & Company, Inc.

 

 

 

 

 

 

 

 

 

 

 

Date: April 23, 2002

 

 

 

 

 

 

 

 

 

 

 

 

______________________________________________________________________________________________________________________________________________________

 

Asensio & Company, Inc.

 

 

 

 

 

 

 

 

 

 

 

 

PolyMedica Corporation

 

 

 

 

 

 

 

 

 

 

 

 

Table IV: Assigned allowances by Medicare1,2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

     

Monitors

     

Test Strips3

 

 

 

 

 

 

 

 

DMERC Region

Ceiling

Floor

 

Ceiling

Floor

 

 

 

 

 

 

 

 

A

 

66.49

66.49

 

38.32

32.57

 

 

 

 

 

 

 

 

B

 

66.49

66.49

 

38.32

33.88

 

 

 

 

 

 

 

 

C

 

66.49

66.49

 

38.32

33.06

 

 

 

 

 

 

 

 

D

75.80

66.49

 

38.41

32.57

 

 

 

 

 

 

 

 

Country wide

 

75.80

66.49

 

38.41

32.57

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. As of April 1, 2002 Medicare rules do not allow beneficiaries to buy equipment and supplies and submit the receipt for reimbursement by Medicare.

    Supplier must submit the beneficiaries' claims.

 

 

 

 

 

 

 

 

 

2. Medicare pays 80% of allowable prices.  Suppliers are required by law to bill the beneficiary for the remaining 20% co-insurance amount.

 

3. Monitor procedure code E0609

 

 

 

 

 

 

 

 

 

 

 

3. Per box of 50 test strips; double for a 100ct package.

 

 

 

 

 

 

 

 

 

Prepared by: Asensio & Company, Inc. 

Date: April 23, 2002

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