Bridging the gap between limited distribution drug manufacturers and patients

Overview

• Specialty pharmacies, which dispense high-cost and complex medications, play a crucial role in helping manufacturers bring their limited distribution drugs (LDDs) to market.
• LDDs are medications that are only available through a specific network of pharmacies due to the complex nature of the drug or the condition treated.
• At VytlOne, we have the expertise and resources to help guide manufacturers as they go to market with LDDs. We also provide highly specialized care for patients with rare and orphan diseases.

Specialty pharmacy excellence

We hold the URAC Specialty Pharmacy certification with Rare Disease Pharmacy Center of Excellence designation. Our team provides exceptional holistic care for patients with rare diseases.

Our patient management program is designed to support patient engagement, prevent gaps in therapy, and mitigate the risk of suboptimal therapeutic outcomes.

These programs include:

• Care plans: Disease-state specific, pharmacist counseling assessments that align patient needs and risk level with the appropriate level of clinical expertise. These high-touch care plans can be customized to comply with manufacturer reporting requirements and are customized to meet the needs of the individual patients.
• Proactive refill reminders: Using digital communication programs, our pharmacists can reach out to patients prior to refills through our patient portal, in addition to telephone and SMS messages.  
• Refill reassessments: Patients are screened by patient care coordinators at each refill to determine if their condition has gotten worse or if any medical changes need to be addressed by the pharmacist.
• Holistic patient care: We provide comprehensive solutions for patients who need additional touch points including adherence tracking, patient follow-up, patient education programs, and medication assistance programs.

Our patient management program, combined with our rare disease expertise, allows us to advocate for our patients and collaborate with providers, manufacturers, payers, and other stakeholders to create treatment plans that result in the best possible care.

End-to-end specialty services for manufacturers

We provide best-in-class implementations. Our clinical infrastructure and integration capabilities are designed to make implementations easy for our manufacturer partners. 

These capabilities include:

• Building customized data sets relating to patient journeys. This includes status of prior authorizations and roadblocks, dispensing information, and more. We collaborate with manufacturers so they can understand exactly what is happening with patients. Our clinician calls with patients help improve the onboarding experience, therapy, and the overall patient journey. We have dedicated resources, contacts, and subject matter experts that manufacturers can reach out to so their questions can be answered quickly, and we can step in to fill any gaps. We are nimble and adaptable and able to roll out changes quickly without long change control processes.
• Increasing speed to therapy by performing an in-depth analysis of copay and foundation assistance if required when we do a thorough benefits investigation.
• Assigning case managers to patients up front to evaluate potential barriers to care, including financial ones. Patients are evaluated for available financial assistance, and we assist patients in applying for manufacturing programs.
• Automatically reviewing opportunities for financial assistance in real time—and case managers are made aware of these opportunities in real time so they can assist patients with applying for assistance as soon as possible.
• Providing real-time order status updates to prescribers. For manufacturers, we provide clinical data collection and reimbursement obstacle support.
• Having a streamlined referral process that is easy to implement. We customize the process according to the prescriber’s preferences and make sure we are communicating about receipt of information and barriers to care. If we cannot service a patient, we send these patients to a pharmacy that can service them while updating all stakeholders on care transitions. Maxor wants to make sure that all patients are being served.
• Providing caregiver support by providing a custom caregiver guide that includes support resources and recommendations on easing treatment burden. In addition, we work cross functionally with multiple providers. We call payers, providers, and other entities to advocate on the caregiver’s behalf, and our experienced billing team follows a thorough process to help identify Medicare coverage.

Flexible options for comprehensive care

We understand the complexities regarding coordination of care, particularly for pediatric patients. Coordinating care can be challenging, but we strive to be flexible and get patients what they need when they need it.

Further reading

• Maxor Specialty Solutions
• How does 340B impact specialty pharmacy?
• Maxor Specialty Pharmacy receives Rare and Orphan Pharmacy Designation

Learn more

Curious how we can help you improve the value of your pharmacy? Contact us by filling out the form below.