PPT-Why is Specialty Drug Coverage Becoming More Restrictive?

May 9 th 2023 Rochelle Henderson PhD National Pharmaceutical Council James Chambers PhD MPharm CEVR Tufts Medicine Panelists C Bernie Good MD MPH Professor of Medicine University of Pittsburgh. Specialty Distributor Specialty PharmacyFaxWebsiteAvella Specialty Pharmacy1-877-546-57791-877-546-5780www.avella.comwww.biologicsinc.com Diplomat Specialty Pharmacy1-877-977-91181-800-550-6272www.dip Christina Hansen, . pharm.d. CHARACTERISTICS. Treat complex and rare disease states. RA, Cancer, Crohn’s, MS. More expensive . Distribution restrictions . Special handling requirements. Continuous monitoring. The Future is NOW in Specialty Pharmacy. August, 2014. Presented by Bob Kordella, . C. hief Clinical Officer of Excelsior Solutions. Chief Clinical Officer. Robert . Kordella. , Chief Clinical Officer, has more than 27 years of diverse experience in the pharmacy industry. Bob has practiced in retail pharmacy, in a large academic medical center setting, and, for the last sixteen-plus years, has been an effective, widely known, and well-respected leader in the PBM industry. Over the course of his tenure with LDI Integrated Pharmacy Services, National Medical Health Card Systems, CVS . Dana Darger, . RPh. Retail Pharmacy . &. Specialty Pharmacy Defined. Retail . Pharmacy - a pharmacy in which drugs are sold to patients, as opposed to a hospital pharmacy. Also known as a community pharmacy. 1. October 2017. What’s Medicare Prescription . Drug . Coverage . (Part . D)?. Medicare drug plans . Approved by Medicare. Run by private companies. Available to everyone with Medicare. Uniform coverage minimum. 2017 . Annual Data Report. Volume 1: Chronic Kidney Disease. 2. vol 1 Figure 7.1 Sources of prescription drug coverage in Medicare enrollees, by population, 201. 5. Data source: Medicare 5% sample. Point prevalent Medicare enrollees alive on January 1, 2015. Abbreviations: CKD, chronic kidney disease; LIS, Medicare Low-income Subsidy; Part D, Medicare prescription drug coverage benefit.. Nationally. In a 30 State study in 2005, about two-thirds (67.8%) of released prisoners were arrested for a new crime within 3 years, and three-quarters (76.6%) were arrested within 5 years.. Within 5 years of release, 76.9% of drug offenders were arrested for a new crime.. Coverage. SHIBA and WA Version. Updated August 2018. Content. Lesson 1. —The Basics................................................................. Lesson 2. —Medicare Part D Benefits and Costs......................... x/MCIxD 0 x/MCIxD 0 Group MedicareBlue30Rx Customer Service -877-838-3827Calls to this number are free 800 am to 800 pm daily Central and Mountain timesVoicemail available after hoursCustomer Works with a Medicare Advantage Plan or Medicare Cost PlanRevised May 2018Medicare o31ers prescription drug coverage for everyone with Medicare prescription drug coverage 1Join a Medicare Prescription LDD Limited Distribution Drug Dispensing pharmacy can be found here Limited Distribution DrugsPA Prior Authorization QL Quantity LimitCovered as SelfAdministered or ProviderAdministered Specialty Phar White Paper Ethical Criteria for Pharmaceutical CoverageTable of ContentsIntroductionThe ChallengeScope and Structure of the White PaperMethodsBackgroundHow are CostSharing Provisions StructuredHow ar DRUG LIST2020Blue Cross and Blue Shield of Kansas City 2020 Preferred Drug ListIntroductionThe Prescription Drug List PDL has been developed and is maintained by the Medical and Pharmacy Management Co ./44+&4;!/1!-1!-61093-7!8093!O10�1!-4!-3?70/*!*&504/.4#!$%/4!*0,+3&1.!:/&4!9&,033&1*-./014!809!.%&!/3-:&!-1*!-1-7?4/4!*-.-4&.!9&C+/9&*!/1!5-./&1.4!6&/1:!-44&44&*!809!K2L!&#x 0.3;&#x 000;/.%!-!5