A DIVISION OF THE

Pharmaceutical Care Management Association

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What is a specialty pharmacy?

Specialty pharmacies were established in direct response to the industry’s need to better procure, store, and dispense specialty drugs, as well as better manage therapy for patients on specialty drugs.

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What is a specialty drug?

Specialty drugs are best defined by the full range of each product’s attributes, rather than solely by cost and route of administration.

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What services do specialty pharmacies provide?

Specialty pharmacy services are designed for a small, but growing population of patients with relatively complex and chronic diseases that require expensive and challenging drug regimens.

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Specialty Drug Trends

Complex, innovative, and high-priced specialty drugs are entering the United States health care market at a rapid rate.

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What is a specialty pharmacy network?

To maximize the patient benefit of drug treatments, preferred specialty pharmacy networks are used to deliver high-quality, accessible pharmacy services.

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What is a PBM?

These drugs are best defined by the full range of each product's attributes, rather than solely by cost and route of administration.

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What is a formulary?

A formulary is a continually updated list of prescription drugs approved for reimbursement by the PBM’s payer client.

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What is a biosimilar?

With numerous specialty drug patents expiring in the next five years, manufacturers are readying new biosimilars for introduction into the market.

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What tools do PBMs use?

The total costs and utilization of specialty drugs will have a substantial impact on overall health care costs during the next decade.

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How can preferred networks provide savings?

Consumers have many pharmacy choices according to data from the CMS National Provider Identifier (NPI) Registry.

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FDA’s Impact on Drug Competition – Matrix Global Advisors

While the FDA's core mission is to protect the public heath by ensuring the safety and efficacy of drugs (among other products), the agency also makes it a priority to facilitate drug innovation.

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Mail-Service and Specialty Pharmacy Savings (Visante)

The growth of Amazon.com and other online retailers highlights greater consumer demand for convenience and home delivery.

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Physician Perspectives on Specialty Medications (North Star Opinion Research)

There are high levels of usage and satisfaction among physicians with specialty pharmacies.

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