Specialty Pharmacy Clinical Services
- Adherence management: Proactive outreach to improve medication adherence
- Injection training: Training for self-administered injectable medications
- Side effect monitoring: Regular monitoring for adverse drug reactions
- Patient support programs: Disease-specific education and support
- Care coordination: Coordination with prescribing physicians and other providers
- Financial assistance: Help patients access manufacturer assistance programs
Specialty Pharmacy Accreditation
Specialty pharmacy accreditation — URAC and ACHC are the leading accreditation bodies — indicates that the pharmacy meets quality standards for specialty drug dispensing and clinical services. Require specialty pharmacies in your network to be accredited. Accredited specialty pharmacies have better outcomes and fewer dispensing errors than non-accredited pharmacies.
Medical Benefit Integration
IQ Insight
Many specialty drugs are administered in a physician office or infusion center and billed under the medical benefit — not the pharmacy benefit. Integrating specialty pharmacy management with the medical benefit provides a complete picture of specialty drug utilization and costs. Site of care management — directing members to lower-cost settings for specialty drug administration — requires this integration.