What is a specialty pharma company?

What is a specialty pharma company?

Specialty drugs or specialty pharmaceuticals are a recent designation of pharmaceuticals that are classified as high-cost, high complexity and/or high touch. Drugs are often defined as specialty because their price is much higher than that of non-specialty drugs.

What are specialty pharmacies in us?

A specialty pharmacy is a state-licensed pharmacy that solely or largely provides medications for people living with serious health conditions requiring complex therapies.

How many specialty pharmacies are there in the US?

In 2018, 900 pharmacies in the U.S. had specialty accreditation. Specialty pharmacies operate separately from most retail pharmacies and are primarily owned and operated by PBMs, wholesalers, providers, or integrated delivery networks, though there are still some independent and small regional specialty pharmacies.

Is prolia a specialty drug?

Prolia ® can be obtained through a specialty pharmacy or retail pharmacy: Pharmacy fills the prescription.

What is specialty pharmacy CVS?

CVS Specialty helps patients with complex conditions manage their medications and live their best lives. From easy online refills to one-on-one CareTeam support from specially trained nurses and pharmacists, we give patients the care they need, when and where they need it.

Are all specialty pharmacies accredited?

Overall accreditation growth appears to be slowing. However, pharmacy locations owned by healthcare providers—hospitals, health systems, physician practices, and providers’ group purchasing organizations—now account for nearly 40% of all accredited specialty pharmacy locations. Read on for a bite of our arithmomania.

Why is specialty pharmacy accredited?

Demonstrate the success of your pharmacy’s outcome-based patient care programs and services with our Specialty Pharmacy Accreditation. In addition, this accreditation is ideal for pharmacies that provide pharmacist coordinated patient education and training, such as promoting adherence and appropriate medication use.

Are there generic specialty drugs?

Like traditional medications, there are now FDA-approved specialty generic alternatives to some expensive branded specialty medications, with many at less than 40-50% of the brand drug cost.

Is Humalog a specialty drug?

Specialty drugs are a relatively small part of total prescriptions filled at the pharmacy, but they are a dramatically increasing part of total prescription spending….The 25 Drugs That Cost Health Plans the Most in 2014.

Product Humalog
Condition Treated Diabetes
Total spending 273,236,112
Number of prescriptions 432,163

Why is Prolia not covered by insurance?

Because Prolia is a brand name drug with no generic equivalent, it typically falls under Tier 3 or 4. Consult your Medicare prescription drug plan’s formulary for more information.