Specialty medications are helping to treat a number of rare, serious and complicated conditions, such as hepatitis C, multiple sclerosis and cancer. While these medications provide a new level of hope for the people who require them, they are expensive and complex.
A Comprehensive Approach to Specialty Care
Elixir’s thoughtful approach to specialty care is unique to each specialty condition and carefully considers clinical effectiveness, member experience and economic impact. To achieve optimal outcomes, we focus on four strategies:
Elixir’s approach to specialty also includes a unique specialty network as well as our own in-house specialty pharmacy, Elixir Specialty.
Specialty Network: Realizing that there are unique drivers for various specialty medication classes and that each specialty pharmacy manages these classes differently, with some having better expertise in certain classes than others, we have developed a network of specialty pharmacies that are selected as the best in managing their respective therapeutic categories of specialty drugs.
Every two years, we complete a rigorous proposal process for this network. Our process covers:
We work closely with this prestigious network to provide a high level of clinical support, maximize treatment success, minimize adverse reactions, and ensure adherence to the prescribed medication therapy.
Our own Elixir Specialty is a valued part of this Specialty network, providing expert care to members with a number of complex conditions. Elixir Specialty has developed a comprehensive care model, led by a dedicated team of certified specialty and often disease-certified pharmacists. Our condition-focused approach centers on compassionate patient advocacy and waste avoidance, with a comprehensive knowledge of available treatments to ensure proper care coordination.
Beyond simply dispensing the medication, Elixir Specialty offers a high-touch, personalized care experience for all patients. We identify opportunities to monitor progress, listen to patient concerns, and provide clinical interventions that drive optimal outcomes and plan savings.
Through pharmacy-driven utilization reviews, assessments prior to the first delivery and targeted interventions throughout treatment, our clinicians are engaged with both the patient and the physician care team to ensure the best possible therapy management and care coordination. As a nationally recognized URAC- and ACHC-accredited specialty pharmacy, Elixir Specialty brings care, convenience and expertise directly to the patient with our comprehensive care model.