SPECIALITY AND HIGH COST DRUG SOLUTIONS

Protect your groups from specialty and high-cost drug claims

Specialty and high-cost drugs now dominate the FDA pipeline with costs often amounting to millions of dollars. Consider a self-insured company faced with a single claim for a $3M drug treatment. The financial implications are enormous, and the concern is here and now. Our specialty and high-cost drug solutions protect groups from catastrophic pharmacy claims.

Specialty Drug Solutions

On average, specialty drug spend makes up 45% of your costs but only 5% of your overall utilization. And these costs increase 10-14% each year. Our specialty solutions, such as variable copay leverages the full value of drug manufacturers’ copay assistance to reduce your total “plan paid” amount.

Clinical Outreach Options

We also can help you access and implement clinical and patient outreach programs that identifies inefficient and expensive drugs and works with providers, members and pharmacies to select more-cost-efficient alternatives, while limiting impact to your members.

International Filling

Another option to help decrease your costs while providing your members with access to important drugs is international filling. Sourcing manufacturers in other countries such as Canada can provide the same safe, clinically effective options at a significantly lower cost to you and the member.

Integrated Cash Solutions

The best prescription prices for generics are often found through cash networks and not your insurance plan. We offer access to different cash network solutions to find the right match for your organizations’ prescription savings needs.

What's on the Horizon? Biosimilars, Gene therapies, GLP-1s?

Partnering with CoeoRx and our seasoned consulting team guarantees that you're always one step ahead. We vigilantly scan the market for emerging trends that could escalate costs, diligently evaluating the most effective strategies to manage and contain these expenses. With CoeoRx, you're not just prepared for what's next — you're equipped to navigate it confidently.

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