Adherence facts
Alarmingly, it's estimated that half of Americans don't take their medications as prescribed1,2.
The reasons for this nonadherence vary, and are intricately linked to personal circumstances and individual health journeys. Contributing factors include high medication costs, side effects, or access to pharmacies that dispense these often complex specialty treatments.3
Nonadherence causes tremendous waste, accounting for about 16%—or $500 billion—of the entire U.S. health care spend every year1,2.
What is the Specialty Adherence Protection Program?
The Specialty Adherence ProtectionSM Program, part of the SafeGuardRx® platform, is a patient-centric, clinically tailored solution for individual specialty patients aimed at proactively combating waste and boosting patient adherence—addressing both the personal reasons members don't take their medications as prescribed, as well as the staggering financial toll of specialty medication nonadherence.
Member Benefits
Individualized support
With individualized treatment and patient support, clinicians stay hyper-focused on each specialty patient and their specific needs, adapting throughout each stage of the patient's journey, adjusting drug supply and frequency as needed.
Choice and convenience
Program-preferred medications can be filled through either Accredo® Specialty Pharmacy or select in-network retail pharmacies.
Plan Benefits
Financial protection
We will reimburse enrolled plans the net cost of any filled 90-day program-preferred medication if a member leaves their plan early for any reason—reducing the overall impact of high-cost specialty medications.
Reduced specialty waste
New-to-therapy patients receive shorter supplies to eliminate the waste and associated cost of expensive specialty medications, ensuring medications are well-tolerated before moving to a greater supply—reducing waste by 50%.
Frequently Asked Questions
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What if patient leaves the plan after moving to a supply greater than 30 days?
Through the financial protection that this program offers, we will help reimburse net plan cost of remaining supply after a member leaves their plan early for any reason.
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How will this impact patient copays?
Copays will be based upon the days' supply of the medication being dispensed. For example, a 15-day supply copay will be half the 30-day copay; a 90-day supply copay will be 3x the 30-day copay.
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How does the Specialty Adherence Protection Program differ from alternative programs available today?
The Specialty Adherence Protection Program is a patient-centric, clinically tailored solution for individual specialty patients to proactively eliminate waste and boost patient adherence. This program differs from alternatives on the market today through:
- Tailored days' supply and fill frequency to specific medication and response to therapy and adapt throughout each stage of the patient's journey—new to therapy, completely stable on their medications, and everything in between.
- Reducing expensive specialty waste.
- For specialty maintenance medications that are best suited for dispensing extended days' supplies, we move adherent chronic patients to greater days' supply refill schedule.
- Through the financial protection that this program offers, we will help reimburse net plan cost of remaining supply after a member leaves their plan early for any reason.
- Members can fill program-preferred medications through either Accredo Specialty Pharmacy or select in-network retail pharmacies.
- Patient Safety & Quality Healthcare. The Impact of Cost on Medication Adherence.
- Patient Safety & Quality Healthcare. Cost of Prescription Drug-Related Morbidity and Mortality.
- American Medical Association. 8 reasons patients don't take their medications.