Specialty Pharmacy

FAQ

What makes a drug a “specialty medication”?

Specialty medications typically:

  • Require special handling or storage (e.g., refrigeration)
  • Need ongoing patient monitoring or support
  • Are biologics or injectable therapies
  • Are very expensive
  • Have strict distribution controls
How is a specialty pharmacy different from a retail pharmacy?

Specialty pharmacies:

  • Offer intensive patient education and adherence support
  • Manage complex prior authorizations
  • Provide 24/7 clinical support
  • Coordinate benefits across medical and pharmacy benefits
  • Handle limited or exclusive drug distribution

Retail pharmacies generally dispense standard medications with lower complexity.

How do specialty pharmacies impact patient access to medications?

They help patients navigate:

  • Complex insurance requirements
  • High out-of-pocket costs
  • Prior authorization and appeals
  • Specialty workflows within provider offices

Their support can accelerate time-to-therapy.

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