bioplus specialty pharmacy

Biotech medications are taking over as best in class treatment options. However, with these treatments come challenges.

1. Biotech medications often have side effects that require managing.
2. These medications are often expensive and require authorizations through health care plans.
3. Doses can not be missed. Missing a dose can extend treatment time.
4. Due to the cost of these medications, most pharmacies do not have them readily available.
5. The diseases that these medications treat are chronic. Patients need a medication specialist to work with them in conjunction with their doctors office to achieve successful treatment outcomes.
Patients who receive their Specialty medication from BioPlus have a greater chance of achieving a successful outcome! WHY?

"Drugs don’t work in patients that don’t take them." C. Everett Koop

Our patients receive the care and support they need to allow them to focus on their treatment.

BioPlus Specializes in treatments for Hepatitis, Cancer, Rheumatoid Arthritis, Psoriasis, Crohn's Disease, Growth Hormone Deficiency, HIV/AIDS, Transplants, Multiple Sclerosis.

Addressing Every Aspect of Specialty Medications
PAYERAssist program provides innovative forward thinking and valuable services that payers have been searching for. Our nearly two decades of specialized care makes us a necessary resource for any Health Plan interested in solving the complications of Specialty Medications.

What makes a medication a 'Specialty' medication?
What are the goals of initiating a specialty drug program?
Which is more important price or profit?
Which organization can provide the level of care and clinical expertise to meet our goals?
Which organization can show a true value and document outcomes, provide clinical interventions as well as ensuring higher satisfaction among your groups?
Is there an independent specialty pharmacy that can remain focused on the sole goal of better patient care, easier direct access for our orgaization as well as our members?
Is a mandatory plan best? What about optional, or multiple provider?
How will we impliment this program?
How will we measure outcomes to determine the benefits of the program?
Is there a specialty pharmacy that can show the value of successful outcomes as well as provide sometimes costly interventions as part of their standard protocol?
If you currently have a program in place are you seeing the results you had expected? Are you seeing an increase in member and group satisfaction? Are you able to justify your program?
If you have a program in place or you are considering the benefits, a good place to start is by analyzing the pharmacy marketplace. We can breakdown the common pharmacy situations this way:

Retail Pharmacy: A pharmacy which is also a retail store. Commonly does not stock high cost long-term treatments. Most focus is on commonly prescribed medications. Pharmacist access is limited after-hours access uncommon.

Specialty Mail Order: A facility that commonly dispenses 90 days of medication at a time. Many specialty mail order facilities now are operating retail pharmacies as well. Additionally, the majority of specialty mail-order facilities are owned partly or in whole by Prescription Benefit Management companies.

Specialty Pharmacy: Pharmacy that is completly focused on the needs of complex treatments including infusion patients. An advocate for the best in patient care for long-term treatments for the chronically ill and demonstrates the difference in better patient care by measuring outcomes.

So what do these differences mean to you?

Specialty Drug Channel Specialty Mail Order
Specialty Pharmacy
Inventory Accessibility  
24-hour access to
Doctors of Pharmacy    
Compliance Monitoring    
Ongoing Program adjustments    
Outcomes Tracking    
Outcomes Reporting    
Detailed Therapy    
Management Programs    
Utilization and Formulary Support  
Nurse Teaching for Self-Injectables    
Customizable Programs    
Higher Compliance than retail pharmacy    

The PAYERAssist program from BioPlus also helps by differentiating between PRICE and PROFIT. As a healthplan how do you make this determination?

DID YOU KNOW?!

Noncompliance costs health care payers $100 Billion dollars annually!

Noncompliance leads to $1.5 Billion dollars in lost revenue. This revenue loss is felt by the employer groups that you, the payer, provide for.

Noncompliance accounts for 10% of hospital admissions at an annual rate of $15.2 Billion dollars. This is a profit loss to managed care organizations or self funded plans which pay that bill.

Additionally, better compliance can help health plans make clearer decisions regarding formulary choices.

The Specialty Drug spend is estimated to be increasing 26% per year or an estimated $75 Billion dollars in 2008.

The program name says it all … PAYERAssist, let us assit you in every aspect of your specialty drug program.