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SpecialtyPharmacy

In Search of a Better Specialty Pharmacy Experience for People with Chronic Illness

February 9th, 2023|Categories: Featured, Industry News|Tags: , , , , |

People living with chronic illness often have to jump through hoops to get the specialty medicines they need, with many expected to justify their prescriptions to payers and pharmacy benefit managers (PBMs) on a monthly basis. A new Med City News article covers how medically integrated dispensing (MID) can help patients and providers.

Improving Specialty Pharmacy IT to Improve Patient Outcomes

February 9th, 2023|Categories: Featured, Industry News|Tags: , , , , |

Health information technology (IT) has rapidly advanced over the past few decades, changing the specialty pharmacy industry. However, key inefficiencies remain that, if addressed, could help patients experience better health outcomes. In a new Pharmacy Times article, learn about these inefficiencies and possible solutions to them.

AJMC View: PBM GER Fees Threaten Specialty Pharmacies

December 26th, 2022|Categories: Featured, Industry News|Tags: , , , , |

Many medically integrated specialty pharmacies (MIPs) take a hit when filling prescriptions due to PBM fees known as generic effective rate (GER). This can reduce patient access by disincentivizing the prescribing of these drugs. In a new AJMC View, authors Darrel L. Willyard, PharmD, and Alexis V. Fanshier, BA, explain how GERs impact specialty pharmacies and patient health outcomes.

Pharmacy or Medical Benefit? Specialty Pharmacy Weighs In

December 8th, 2022|Categories: Featured, Industry News|Tags: , , , , |

The reimbursement and dispensing of specialty pharmacy drugs is made complicated by inconsistencies in coverage, wherein different plans will categorize the same treatment as a pharmacy benefit or a medical benefit. This can determine coverage and therefore where patients will go for medications. In a recent article in Pharmacy Times, Bill Bolgar discusses a comprehensive pharmacy services approach that lets specialty pharmacies categorize drugs into medical or pharmacy benefits.

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