specialty pharmacy management

GHP offers a best-in-class specialty pharmacy network with our industry-leading contracts with both large national and niche players. This allows us to offer flexible networks including central-fill only through a dedicated specialty only site and retail-based programs.

We have innovative fee schedules that provide fair reimbursement and help drive product selection based on drug cost maximizing savings across the medical and prescription benefit. We also offer point of sale rebate strategies which give us the ability to price specialty products with the rebate included in the purchase discount allowing the payor to receive more immediate value from the drug rebate.

We looked at the world of formulary administration, shook our heads and said, “There’s got to be a simpler way.”

We set out to make the complex, confusing world of formulary and rebate management less complex and confusing. We work with PBM’s, Health Plans, and Employer Groups all over the country — listening, researching, negotiating, and creating customized, tech-forward solutions to help you meet your needs and save your members money. Simply. To every client and every situation, we bring clarity, insight and expertise.

Product Level Pricing

Access to aggressive product level pricing for all specialty medications available in the marketplace including limited distribution and home infusion type products

Specialty Leakage

Proven strategies to move specialty “leakage” to preferred providers through member and provider engagement

Planning & Clinical Support

Proactive planning and clinical management support to identify cost savings opportunities utilizing biosimilars and ongoing management of specialty definition and list

Maximize Co-Pay

Maximizes co-pay assistance available from manufacturers resulting in plan and member savings

Find out more about Gateway Health Partners’ specialty pharmacy management services.