Specialty drug trend is on an evolutionary fast track and is anticipated to consume greater than 60% of the total U.S. payer drug spend by 2013 for pharmacy and medical benefit combined. The rising trend in specialty is the result of increased price inflation, expanded utilization of existing specialty products and new agents entering the marketplace. Specialty drug usage in a much broader array of disease states will continue to expand as new life-saving drugs come into the market.Given this growing market, patient adherence with specialty medications is becoming an increased topic of discussion. Not only are there different calculations that are currently in place to measure adherence, but which factors influence adherence and what is the role of specialty pharmacies in keeping patients adherent?

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The drug formulary has served as the cornerstone for the administration of prescription drug benefits provided by managed care plans for more than thirty years. In today’s environment of rapid-fire changes to the drug universe, constantly evolving regulations and increasing demand for lower costs from consumers, pharmacy benefit administrators face new challenges in creating, maintaining and communicating pharmacy benefits to their many stakeholders.

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