The increasing cost of administering Specialty Pharmaceuticals is a complex challenge facing the healthcare industry today.
Physician groups and retail pharmacies normally do not stock specialty pharmaceuticals due to high cost and reimbursement methodology. BLN's Specialty Pharmacy provides an efficient delivery method to your members while controlling your price by offering a contracted rate of AWP less a percentage. Not only does this program hold benefits for the plan, but also for your members.
It is commonly recognized that the coding and billing procedures are varied and complex but, BLN has been able to develop software to eliminate the difficulties associated with the adjudication of these claims.
Products for Specialty Pharmacy
Specialty Pharamacy products are generally identified as Bio-tech/gene-based therapies (collectively called "Specialty Pharmacy") and include one or more of the following elements:
Products used to treat chronic or rare diseases which generally cost in excess of $5,000 per year.
Pharmaceutical or biological products administered via non-oral means.
Products delivered to the patients via mail or home delivery and requiring special handling like refrigeration.
Products that are administered in a non-hospital setting, including the physician office, specialty clinic or patient's home.
Pharmaceuticals or biologicals not managed under the traditional outpatient prescription drug benefit.
Therapies that require complex care, patient education and continuous monitoring.
Used to treat chronic or rare diseases which generally cost in excess of $5,000 per year.
Administered via non-oral means, in a non-hospital setting, including the physician office, specialty clinic, or patient's home.
Delivered to the member via mail or home delivery, and requiring special handling, such as refrigeration.
Not managed under the traditional outpatient prescription drug benefit.
Therapies which require complex care, patient education and continuous monitoring.
Features
Benefit to Plan
This program focuses on reducing the cost of self-administered and office administered injectable drugs as well as other high cost major medical drug therapies.
BLN has developed software to eliminate the difficulties, such as coding and billing procedures, associated with the adjudication of claims.Benefit to Member
BLN keeps these in drugs in stock, so that they're available when requested.
BLN has efficient processing and delivery methods ensuring fast, reliable, and accurate shipment to your members.
BLN contacts your member a week before their prescription runs out, to ensure that a refill is requested & filled, this promotes therapy compliance and better patient outcomes.
Authroized Distributor
Genentech USA, Inc. ("Genentech") is pleased to place Better Living Now on Genentech's approved distribution list for the purchase of Avastin® (bevacizumab), Herceptin® (trastuzumab), and Rituxan® (rituximab) from Genentech's authorized distributors. All these are highly special products for Cancer.