CVS Specialty
Practices like yours can spend an average of 20 hours a week on prior authorizations alone. And with the influx of aging baby boomers and an exploding specialty pipeline you may have more patients to care for and more choices to make every day.
CVS/specialty can help make your job easier.
Our goal is the same as yours — to get patients on the right therapy and help them achieve optimal treatment outcomes.
We’ve built our business and processes around the services you value most
- Easier ways to complete prior authorizations and appeals
- Simplification of the insurance process
- Financial assistance resources for your patients
- Support getting patients onto therapy quickly
- Help ensuring patients adhere to complex and costly therapies
- Because of our unique structure, size and clinical expertise, CVS/specialty can help you navigate the rapidly changing specialty
- landscape and reduce administrative hassle so you can get back to what matters most to you – your patients.
Simplifying the Referral Process for Your Practice
We are an efficient, single point of contact for you and your patients. Like you, we want patients to get the therapy they need as quickly and seamlessly as possible, make sure they adhere to your prescribed regimen and realize optimal outcomes.
Services that save you time
- Help with prior authorization and status updates for you and your patients
- Condition-specific enrollment forms that also serve as prescriptions
- Specialty referrals by phone, fax or e-prescription – processed within 72 hours
- Centralized intake and benefits verification
- Triage of referrals we are unable to service — with all network providers and plans, including Medicare and Medicaid
- Financial assistance support
- Access to 99 percent of therapies, including limited-distribution medications
- Therapy and drug-specific education to improve patient adherence
- Injection training and infusion nursing services
- Proven, Individualized Care for Your Specialty Patients
We understand that specialty patients have complex conditions and unique needs. We have made innovative investments to help ensure they receive the right level of support and entire condition management.
Our clinician-led teams are staffed with experts in specific specialty conditions and treatments. They closely monitor issues that can undermine adherence, like disease progression, comorbidities and infection.
Patients using our specialty pharmacy are 36 percent more likely to remain on therapy than those using other specialty pharmacies.
We support your patients through:
- Unparalleled access to specialty medications to optimize convenience
- Initial assessment of condition-specific symptoms and triggers
- Ongoing, therapy-specific education on drug administration, side-effect management, drug interactions and lifestyle tips
- Vigilant outreach to monitor therapy response, adherence and adverse events with physician alerts on potential issues
- Proactive refill reminder calls
- Nursing services, when applicable
- Ancillary supplies, including sharps containers, when applicable
- Rapid response for urgent-need medications
- Phone availability 24/7
- Multiple channels make patient access to specialty pharmacy services easy and convenient. Our services are available through:
CVS/specialty
CarePlus™ Specialty Pharmacy
CVS/pharmacy® locations