PBMs administer prescription drug plans for more than 266 million Americans. With the costs and complexity of specialty drug treatments rising, PBMs offer a number of services designed to improve the quality of care for patients across the nation while managing overall costs to the health care system. To encourage complete coordination across the continuum of patient care, payers depend on PBMs’ utilization management tools, including the use of specialty pharmacies, to ensure that the value of therapy is optimized, at the most reasonable costs possible.

Mission


The rapid and ever-changing growth of the specialty pharmacy industry presents a multitude of challenges and opportunities for the health care industry. sPCMA was established as a division of PCMA to provide thought leadership and advocacy to the industry on matters of public policy, industry relations, and the value of specialty pharmacies. sPCMA:

  • Defines and promotes the value of specialty pharmacy;
  • Illuminates emerging policy issues affecting the industry;
  • Serves as a public voice on matters related to specialty pharmacy; and
  • Provides a forum for members to engage opinion leaders, policymakers, and other authorities.

Board of Directors


Steve Avey, RPh, MS
Vice President, Enterprise Specialty Clinical Solutions
MedImpact Healthcare Systems, Inc.

Christopher Bradbury, MBA
President, Cigna Pharmacy Solutions
Cigna

Jim Clement, MHA
Executive Director, Value Based Care and Supply Chain Strategy
Aetna Pharmacy Management

Randy Falkenrath, MBA
Vice President, Specialty Strategy
Humana Pharmacy Solutions

Jonathan Gavras, M.D., FCCP
Senior Vice President & Chief Medical Officer
Prime Therapeutics

Alan Lotvin, MD
Executive Vice President, CVS Specialty
CVS Health

bill-martin

Bill Martin
Vice President & General Manager, Accredo Trade Relations
Express Scripts

Steven Michurski, MBA
Senior Vice President, Trade Relations
Magellan Rx Management

Michael Zeglinski, RPh
Senior Vice President, Specialty Pharmacy
OptumRx

Disclaimer

sPCMA does not provide medical advice, diagnosis, treatment, or prescriptions. Any health information services, suggestions, or other content on sPCMA are for informational purposes only. Users assume full responsibility for the use of information obtained through the site and agree to not hold sPCMA responsible or liable for any claim, loss, or damage arising from using the information.