We have been delivering integrated solutions for total specialty drug management for nearly two decades, empowering our customers to make better decisions with a comprehensive view of the specialty drugs being used to treat complex, chronic disease states across both the pharmacy and medical benefit.
What is our total specialty drug management solution?
We work cross-functionally across our industry, partnering to discover better and more efficient ways to drive down costs and improve the quality of care for our members.
We also have a deep understanding of pharmacy trends, including one of the largest specialty cost drivers—specialty drugs dispensed through the medical benefit. Our approach to effectively manage total specialty costs and help members achieve better outcomes starts with identifying opportunities using real-world data and ends with driving results through proven, forward-thinking solutions.
We specialize in:
- Medical Pharmacy Solutions
- Specialty Pharmacy Services
- Specialty Formulary Optimization
- Policy & Clinical Strategies
- Prior Authorizations
- Post-Service Pre-Payment Claim Edits
- Provider Network Strategy
- Site of Service Management
- Medical Formulary Management