Creating partnerships to enhance the quality of care
We clearly understand and solve for the complexities inherent in getting patients started on specialty medications. Is the medication covered under the patient’s medical or pharmacy plan? Is it affordable? When will the medication arrive? We know that delays in starting therapy combined with high costs can stand in the way of effective treatment, and we are skilled at helping you navigate solutions with:
- Pharmacist consults covering lower cost treatment options when there are multiple, clinically equivalent drugs.
- Attention to adherence when a therapy switch to a higher cost product is planned, with pharmacist outreach to physicians to share patient adherence history and ensure a switch is necessary.
Since the single biggest driver of drug spend within a plan is specialty pharmacy, we provide a smooth pathway to prior authorization and enrollment while following all necessary guidelines. Our clinical programs are designed to help you and your patients manage costs without sacrificing quality care.
Given that the record-breaking pace of FDA approvals for specialty drugs is predicted to accelerate, you need a PBM with a proven record of helping payers keep specialty costs as low as possible, while meeting patient needs. Our proven approach saves valuable time in streamlining administrative and non-clinical tasks so that you can focus on the patient.