Specialty Drug Management


The Specialty Drug Problem


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RISING COSTS

The trend of rising pharmaceutical costs will continue, driven by expensive specialty drugs.
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PHYSICIANS CAN BE INFLUENCED

Prescribing physicians can be influenced by pharmaceutical representatives and rarely have current information regarding the cost of drugs to the member or the plan.
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CONFLICTS OF INTEREST

Conflicts of interest abound since Pharmacy Benefit Management companies have financial ties to pharmaceutical manufacturers and many even own their own specialty pharmacy.
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MEMBERS CAN BE INFLUENCED

Members can be influenced by specialty drug advertising, creating demand for high-cost drugs with no knowledge of their cost or less expensive alternatives.
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By the Numbers

In 2015 – 50% of the drugs approved by the FDA were specialty drugs. The market has been bombarded with high-cost drugs over the last few years.
Most of these drugs cannot be substituted with a generic or lower-cost alternative.
Treatment regimens can be very costly, some reaching as much as $750,000/year.
The average annual cost increase of Specialty Drugs is 21% based on a three year trend.


So, what's the solution?

Having an unbiased third party partner, separate from your PBM, is the only way to ensure the dollars you spend on Specialty Drugs are spent with a well thought out plan – implemented by a clinical team with access to the most up-to-date, peer-reviewed, clinically relevant research.

RxResults has a marked advantage due to the relationship with the nationally recognized University of Arkansas for Medical Sciences College of Pharmacy. The pharmacists on staff are uniquely positioned to perform additional research on outcomes and to manage the administration of specialty drugs in the most cost effective manner. RxResults created our Specialty Drug Management program using 4 primary components to managing the cost of specialty drugs; Prior Authorization, Member Support, Analytics and Cost Controls.








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Download the Specialty Drug Management Brochure