Specialty Drug Management

Along with cancer treatments, specialty pharmacy drives huge costs today. Together, these categories represent between 10% and 20% of plan/sponsor medical expenses. Both have costs that are growing at rates unsustainably higher than the rest of the medical spend. What is more, new treatments are introduced almost daily it seems. And the price tags are staggering. But most challenging is that cancer and specialty pharmacy have integral ties to physician reimbursement and compensation and both require specialized knowledge to manage effectively.

Intellogy Health Designs is focused on helping health plans address their oncology and specialty pharmacy programs. We bring specialized resources to focus on creating solutions that meet the unique market, provider and member needs facing health plans today.

Our Specialty Drug Management service helps payers identify and prioritize opportunities in the following areas:

• Medication Therapy Management for oral and self-injectible drugs
• Pharmacy and Provider Networks
• Limited Specialty Networks
• Rebate Programs
• Medical Pharmacy Leakage to identify and pursue rebates, utilization/pre-auth programs
• Specialty Drug Usage
• Specialty Contract Review
• Pipeline Review and Planning
• Hemophilia Management