The 2019–20 Economic Report on Pharmaceutical Wholesalers and Specialty Distributors iii Corporate License + Exhibits ABOUT THE AUTHOR Adam J. Fein, Ph.D., is the CEO of Drug Channels Institute (DCI), a leading management educator for and about the pharmaceutical Drug Name Drug Form Preferred or Non-Preferred Preauth Required Preauth Reviewer Limited Distribution Exclusive to CVS Specialty abacavir (tablet, solution) Oral Preferred X abiraterone acetate (tablet) Oral Preferred X OA X Actemra (IV solution, PFS, ACTpen) IV/SQ Non-Preferred X CVS X Actimmune (solution for injection) SQ Non-Preferred X CVS/OA X (See Chapter 11 of our new report.) Top specialty drug pharmacies in the U.S. based on market share 2019 Definition of specialty drugs by PBMs and pharmacy executives 2011 Patent applications for genetic drugs worldwide 2010 But with Humira biosimilar challengers hitting abroad for the first time in 2019—and U.S. copycats right around the corner in 2023—other top sellers are eyeing their march to the top. Please consult your insurance documentation to determine which benefit covers these medications. Although specialty drugs are used by only 2% of the population, its share of spend jumped from 44.7% in 2018 to 47.7% in 2019, nearly half of all spending on prescription drugs. Chief among those is Merck & Co.'s fast-growing Keytruda, which has gobbled up new patients on its way to sales supremacy. Drug Channels Institute estimates that in 2018, the 10 largest specialty pharmacies owned by health systems had specialty pharmacy revenues of $170 million to $425 million. Our goal is to help make your life better. But drugs are expensive, and it seems to be getting worse. During 2019, CVS and Walgreens acquired store or prescription files from at least eight small chains that … Like Qinlock, Ayvakit is also used to treat GIST and has a list price of $32,000 for a 30-day supply. The CVS Specialty Pharmacy Distribution Drug List is a guide of medications available and distributed through CVS Specialty. e-Prescribe specialty prescription(s) to CVS Specialty Pharmacy. Top trends in specialty rx are accreditation, consolidation, and innovation. Below are the top 10 specialty therapy classes for 2015: 10. The past year was record-breaking for specialty drug approvals, with 39 new drugs approved by the FDA. 1. That’s what a new analysis by the GoodRx Research team reveals. Myalept, Ravicti, and Mavenclad all cost over $50,000 for a typical monthly supply. However, competitive conflicts continue to grow between PBMs and provider-owned pharmacies. In addition, several new orphan drugs and oral drugs for multiple sclerosis (MS) are expected to gain approval. But it's not all Humira and oncology: Drugs from Gilead, Biogen, Bristol Myers Squibb and others round out our list, and their roads to blockbuster success have all been unique. The GoodRx Research team regularly tracks the most expensive medications filled at local pharmacies in the United States, and the same drugs continue to make the top of the list. Fierce Pharma's JPM 2021 coverage in one place, Dealmaking, company updates and COVID-19: Follow our coverage of the virtual JPM 2021. The top 3 specialty therapy classes, which includes multiple sclerosis, oncology, and inflammatory conditions, accounted for 56.3% of all specialty spend. Manufacturer Blueprint Medicines offers a manufacturer copay program that can reduce co-pays to as little as $0. Contact Associate Editor Kyle Blankenship (email | Twitter) and let us know what you think. 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