BioScrip Payor Services

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	We offer cost-effective pharmacy management programs.

Today, plan sponsors are faced with the challenge of containing or lowering ever-escalating drug costs while providing effective pharmaceutical treatment to people reliant on you for care. Today, 32 million Americans are taking three or more medications, while seniors take five or more medications per day. There are numerous drugs on the market and more than 600 drugs and biologicals in development.

Escalating drug costs can be attributed to new development, an increase in the number of medicines prescribed as well as the inability of patients to take their medications properly. As a result of patient non-adherence, treatments are being rendered less effective, resulting in escalated costs due to prolonged recovery. BioScrip® is dedicated to helping lower drug costs though our comprehensive pharmacy services, while striving to improve patient medication usage for better outcomes.

Our cost-effective pharmacy management programs include:


	Pharmacy Benefit Management Services.

A well-designed PBM program can deliver maximum benefit while minimizing cost. A PBM program can:

Provide access to pharmaceutical care
Create member choice
Provide information to members, prescribers and sponsors to enhance the effectiveness and efficiency of the pharmacy benefit

Our pharmacy industry experience and customization capability allows us to establish the right benefit program for you and your members. Over 7 million members rely on our network of 58,000 pharmacy locations each day to provide local access to prescription drugs. Our mail-order service provides fast and accurate drug distribution for members and cost reduction for plan sponsors. We provide cost containment or savings by leveraging services such as:

Formulary management and rebate administration
Generic substitution
Prospective and respective Drug Utilization Review (DUR)
Prior authorization
Copay customization, deductible and benefits maximums

Our services also include:

Network design and management
Mail Services from our wholly-owned, sate-of-of the art mail facility
Claims processing and adjudication
Customizable data reporting

We will work with you to design, implement and launch your program.

Learn more about our pharmacy benefit management features and tools.

Or contact us today for an analysis and consultation:
Jeff Vigh, VP of Sales and Client Services
jvigh@bioscrip.com
P: 614-850-6681 TF: 866-325-6756

For customer service, please call:
800-677-4323


	Specialty Mail Services.

Specialty medications are the fastest growing segment of pharmaceutical costs. While only a small percentage of patients will be afflicted with a chronic condition, a large percentage of drug spending is attributed to this small group. According to the National Council on Patient Education, more than half of all Americans with chronic diseases don't follow their physicians' medication and lifestyle guidance. This medication non-compliance results in an average of 4.2 days in the hospital. Ten percent of all hospital admissions are the result of patients failing to take prescription medications correctly.

We offer more than 20 years of experience working with individuals with chronic health conditions. This experience enables us to take a unique look at your drug utilization and spending to create a custom specialty drug program aimed at lowering drug costs. Whether you require a comprehensive, private-label or disease-state carve-out program, we can design one for you that:

Lowers prescription costs
Reduces paperwork
Provides more accurate benefit coordination
Ensures better pharmaceutical participant outcomes

We can deliver specialty medications to your members suffering from chronic health conditions through our state-of the-art pharmaceutical management facility. This facility adheres to the highest in quality assurance standards. We carry specialty drugs that aren't readily available at most pharmacies. We also offer patient services designed to encourage proper medication usage and improve adherence and compliance. Our patient services include:

Free delivery
Benefits coordination
Medication counseling
Side effect management
Therapy Management
Refill reminders and more

Learn more about BioScrip® specialty mail services.

Or contact us today for an analysis and consultation:
Jeff Vigh, VP of Sales and Client Services
jvigh@bioscrip.com
P: 614-850-6681
TF: 866-325-6756

For customer service, please call:
800-677-4323


	Clinical Services and Disease Management

BioScrip’s offers clinical services focused on providing optimal care to individuals with various conditions, as well as providing effective strategies for cost containment to plan providers. We do not offer a one-size fits all approach to pharmacy services. Rather, we determine which services are appropriate to effectively support patients based on an initial comprehensive risk assessment. Depending on the risk associated with a particular health condition, we designate our clinical services accordingly; those services may range from Dispensing Services to Drug Therapy Management to Disease Management Services. This ability to scale our services based on disease type, enables payor to provide their members the appropriate level of support in order to maximize their treatment results, and at the same time realize economic benefits.

For patients, BioScrip's Drug Therapy Management at the point of dispensing can include:

Comprehensive formulary management
Pharmaceutical Care and Prospective Drug Utilization Review (DUR)
Prior authorization
Quantity limits
Waste limitations
Medical necessity
Generic substitution
Retrospective Drug Utilization Review

Drug Therapy Management may continue during ongoing assessments and include:

Follow-up monitoring with therapy adjustment or discontinuation
Adherence monitoring with intervention

In addition, Disease Management Services are available for higher risk patients:

Call-based nurse support
Patient self-management and empowerment counseling
Outcomes monitoring
Reporting of outcomes to payor and prescriber

Or contact us today for an analysis and consultation:
Jeff Vigh, VP of Sales and Client Services
jvigh@bioscrip.com
P: 614-850-6681 TF: 866-325-6756

For customer service, please call:
800-677-4323