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ABOUT SPECIALTY BENEFIT SERVICES
 

Our Approach

Specialty Benefit Services is our next-generation approach to managing total specialty drug spend and enhancing patient care. By integrating medical benefit management, pharmacy benefit management and our pharmacy and distribution services, we offer flexible solutions that control the cost of specialty drugs and make healthcare more affordable and accessible.

Specialty Medical Benefit Management

Care Continuum™ – an Express Scripts company – provides the industry's most comprehensive suite of utilization and trend management tools for drugs billed through the medical benefit. For more than 18 years, plan sponsors have relied on these tools to control costs without compromising patient care. Care Continuum is URAC Utilization Management accredited and supported by a staff of clinicians, medical professionals and a board-certified medical director.

Specialty Pharmacy Benefit Management

For more than 25 years, Express Scripts has been leader in trend and utilization management for drugs billed through the pharmacy benefit. We apply proven tools like prior authorization, step therapy and plan design to drive down the cost of specialty drugs billed through the pharmacy benefit.

Specialty Pharmacy & Distribution

Accredo, Express Scripts’ specialty pharmacy, provides personalized care and access to medications to patients with chronic, often serious health conditions that require a specialty drug.

 

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