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PAYOR and Managed Care Services
Rising prescription costs and the rapid introduction of specialty medication to the marketplace make it increasingly important for Managed Care Organizations to lower ever-escalating drug costs while providing effective pharmaceutical treatment.
The specialty market is evolving. Managed Care Organizations and Plan sponsors along with their members feel the impact of these products on their overall prescription benefit plans. By optimizing plan spending with proven clinical solutions and oversight for better outcomes and cost savings, plans can continue to offer robust specialty pharmacy benefit packages for their members.
As an independently owned specialty pharmacy, we provide a wide range of flexible services to our managed care partners including:
- Private label specialty pharmacy programs
- Competitive pricing
- Patient Financial Assistance Program (PFAP)
- Compliance and adherence packaging to improve member therapy outcomes
- Medication utilization management and waste reduction strategies
- Specialty pharmacy medication formulary support
- Standard and customized reporting
- Comprehensive disease management and therapeutic programs
- Specialty cost reduction strategies including 340B programs and preferred specialty drug list
- Clinical protocol design and management including prior authorization, quantity limits, and step therapy programs
- Clinical intervention programs
- Detail specialty claim analysis to identify cost-savings opportunities and eliminate over-billing of specialty medications through the medical benefit
- Close management of high-risk members
- Customized patient educational materials
- 24 hours, 7 days a week support
For more information and to learn how we can assist your organization manage the specialty pharmacy costs and provide superb member service, contact us.
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