CVS 2012 Annual Report Download - page 17

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CVS Caremark is developing a variety of unmatched
solutions for the challenges of specialty care.
CHALLENGE
Traditional retail pharmacy
unable to meet the needs
of all specialty pharmacy
patients due to:
•฀฀•฀฀•
Requirement by plans to use
a specific pharmacy
... mainly mail service
•฀฀•฀฀•
Lack of clinical and benefit
verification support offered by
specialty pharmacies
CHALLENGE
Managing spend under
medical benefit due to:
•฀฀•฀฀•
Rapid growth in drugs that fall
under the medical benefit
•฀฀•฀฀•
Lack of visibility and tools
that are available under the
pharmacy benefit
CHALLENGE
Specialty drugs are driving
payor cost increases due to:
•฀฀•฀฀•
FDA approval of new
drugs/indications
•฀฀•฀฀•
Changes in treatment guidelines
•฀฀•฀฀•
Widespread off-label prescribing
driving increased utilization
CVS CAREMARK 2012 ANNUAL REPORT
15
SOLUTION
Integrated
Specialty
Allows access to specialty
pharmacy services through
CVS/pharmacy. Patients
have choice to drop off and
pick up prescriptions at retail,
significantly improving access
and the member experience.
SOLUTION
Medical Pharmacy
Management
Curbs specialty drug spending
through a portfolio of programs
under the medical benefit.
SOLUTION
Foundational
Management Programs
Control spend under the
pharmacy benefit, with a focus
on utilization and network
management and ensuring
appropriate, safe, and effective
use of medications.