Specialty management.
MedImpact’s unique model allows us to leverage multiple fulfillment partners to identify the lowest cost and best service for each class of medication.
Controlling specialty spend.
Although only 1% of pharmacy claims for commercial plans are for specialty drugs, they often account for greater than 50% of all prescription benefits spending. It will take bold new thinking to manage this trend.
Pharmacy and medical benefit management.
50%–60% of specialty spend is under the medical benefit. Through MedIntegrate®, we look at specialty drug utilization across both medical and pharmacy to increase savings.
Monitoring and care management program.
MedImpact offers condition management to help ensure members are on the most appropriate therapy.
Personalized support.
Specialty medicine usually needs unique care and close follow up. The specialty pharmacy clinicians we work with give members personal support including scheduling therapy, help with how to take the medicine, answering questions about managing side effects, and help with understanding benefits.
Convenient dispensing and delivery.
If the member’s doctor administers the medicine in the office, the medicine will be shipped to them. If the member administers the medicine themselves, it will be shipped to the address provided, in private packaging that doesn’t indicate what is in the box.
Our specialty program offers members:
Help with treatment plans
Copay assistance
Nurse and pharmacy helpline
After-hours service
Educational information about their medicine
Personalized refill program
Free standard shipping
Translation services
Innovative specialty solutions.
We partner with Ray Savings Solutions to offer a new and innovative approach to reducing the cost of specialty medications for plans and members. Leveraging Ray’s deep industry expertise, they advocate on behalf of plans and members to identify ways to cut the cost of specialty medications, in some cases down to a $0 cost share.
Proven results
ON A MISSION
Connected care.
Every year, we invest hundreds of millions of dollars in technology, people, and solutions to make healthcare benefits more connected, personal, and affordable.
