FLEXIBLE OPTIONS FOR:
HEALTH PLANS | EMPLOYER GROUPS |
UNION PHARMACY BENEFIT | MUNICIPALITIES | TPAs
| BROKERS | HOSPITALS
AscellaHealth‘s mission is to offer an innovative, specialty (SPBM) delivery model that
provides customized, unique and cost savings specialty pharmacy solutions—all of which are tailored
to the needs of our unique clients. By integrating medical and pharmacy benefits, our clients can
engineer a plan that works best for them.
SPECIALTY PHARMACY MANAGEMENT
Cost containment requires a multifaceted approach through analysis of specialty drug utilization.
- Aggressive contracting
- Effective evidence based prior authorizations and clinical
- Site of care optimization
- (LDD) Limited Distribution Drug access
LIMITED SPECIALTY DRUG PROGRAM:
Cost savings through cost containment of LDD drugs, utilization management, therapy optimization
programs, and pharmacy network services.
- Rebate management services
- Clinical services
- Wraparound services and network
Therapy optimization programs expand clinical services for managing high-cost specialty drugs
and provide added value in patient care.
- Formulary management
- Claims processing edits
- Focused medication management programs
Clients enjoy the benefits of an inclusive pharmacy network for specialty Rx prescriptions.
Direct network access provides specialty drug information in one platform, with real-time data and
- Absolute prescription control through a network of trusted
- Prior authorization and real-time benefits verification
- Prescription fill dates and refill alerts
- Pharmacy fulfillment accuracy and turnaround time
- Integration of both medical and pharmacy benefits with
comprehensive, customizable solutions
- Specialty network and distribution programs, as well as targeted
clinical programs that provide true savings and formulary adherence