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With over 75 years of combined experience in the Healthcare & Pharmacy industries, we provide unique insights on how to mitigate current and future healthcare spend, with proven results.
Our Prescription Claims Avoidance Programs concentrate specifically on high cost and Specialty medication.
According to the most recent PBMI report on specialty medication – “Patients who use specialty medications made up about 4.9% of commercially insured member populations in 2017, up from 3.9% in 2015. This growth in specialty drug use prevalence, along with price increases, is part of the reason the specialty drug spend is now 50% of total drug spend and is forecasted to reach 60% by 2021.”
We can help you change that, while your members obtain the same meds and pay no copay. Our programs can greatly reduce your Specialty spend without affecting outcomes and with very little disruption to your members.