Specialty Pharma Solutions for Health Plans

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MALE VOICEOVER: When your members need specialty drugs, there’s a lot for their providers to consider. What’s right for this patient with this disease?

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New treatments and therapies are constantly in development, which makes it impossible to keep up.

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And of course, it’s not just a clinical decision. It’s also a financial decision.

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The average cost of specialty drugs is very high. It’s important that treatments are high quality and cost effective.

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There’s an easy way for providers to stay up to date on specialty drugs

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and make sure that everything goes smoothly for you and your members.

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The Optum Specialty Guidance Program.

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Here’s how it works. After providers meet with your members, they’ll need to determine a treatment for prior authorization.

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Optum is seamlessly integrated into your portal.

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The provider will input the drug they’re looking for and then we’ll guide them based on several factors.

[Text On Screen –  Clinical appropriateness, Site of care, Preferred products]

 Clinical appropriateness.

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This includes the latest research on outcomes for similar patients,

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as well as guidance from the health plan.

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Site of care,

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outpatient facility, physician office, at home.

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There can be a huge cost difference for the same drug administered at each location. Convenient for your members is a big deal too.

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Preferred products.

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Two patients may have the same condition

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but their health plans may have different preferred products,

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which may lead to quicker care

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and fewer roadblocks.

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That means happier members and happier providers. We have guidance for over 50 conditions

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and support all specialty drugs on the medical benefit.

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Make managing specialty drugs easier and more cost effective

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for you,

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your providers,

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and your members,

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with Optum Specialty Guidance Program.

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