1 CVS Caremark 2007 specialty trend data and CVS Caremark 2007 Book of Business data
2 CVS Caremark 2007 specialty data
Managing Specialty Pharmacy
Specialty pharmaceuticals are the fastest-growing segment of drug spend in America. A comprehensive management approach can help a plan get ahead of the curve in the sector.
A proactive approach includes network management, guideline management and ongoing individualized clinical support for patients. All to help make sure that patients get the right drugs, use them appropriately and achieve optimal health outcomes. As well as optimal cost control. In 2007, plans using our comprehensive management approach saved 5 percent on their specialty spend.2
How Proactive Pharmacy Care Can Help
Specialty Network Management
- Consolidates access for specialty pharmacy products.
- Assures pricing.
- Provides management opportunities to support appropriate utilization and improved outcomes.
Specialty Guideline Management
- Bases authorization for specialty medications on currently accepted medical guidelines and consensus statements for appropriate use.
- Evaluates patient progress to determine whether expected outcomes are being met and appropriate therapeutic endpoints are being reached.
- Available in 2009 for all specialty drug classes.
Specialty CareTeam Support
- Conducts both face-to-face and telephonic Pharmacist-to-patient and Pharmacist-to-physician consultations.
- Supports optimal medication use which can reduce overall health care costs by decreasing the number of hospitalizations, emergency room visits, physician office visits, and use of adjunctive medications.
CVS/pharmacy Services
- Optional specialty pharmacy delivery at select CVS/pharmacy store locations.
- Adds convenience for specialty pharmacy patients.
- Helps ensure safety of temperature-sensitive pharmaceuticals.
- Patients have ongoing support of Specialty CareTeam.
Accordant™ Rare Condition Management
- Whole-patient approach to condition management for rare chronic diseases.
- Offers the physician highly trained and experienced support in caring for patients.
- Helps the physician promote treatment compliance.
- Coordinates complex services for patients.
- Helps improve health outcomes, increases adherence, lowers cost.