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Program seeks to standardize best treatment practices by working with both prescribers and pharmacies
The program is targeted to manage hemophilia utilization on both the pharmacy and medical benefits, and aims to improve overall quality of care while reducing unnecessary costs by:
- Helping payers analyze information related to patient bleed history and hemophilia treatment patterns.
- Standardizing dispensing and optimal dose protocols to promote best practices and improve transparency in hemophilia care.
- Updating policies to encourage individualized treatment regimens based on patient-specific metabolic factors.
"Variability in dosing of hemophilia products contributes to
increasingly high costs in the hemophilia category. Standardized dosing
protocols can significantly reduce potential over-utilization of
hemophilia drugs without compromising clinical outcomes," said
This program will be led by clinical pharmacists, who will collaborate with hemophilia treatment providers and pharmacies throughout the drug delivery process to improve care coordination and ensure program goals are being met. Regular communication between stakeholders to share key clinical information and outcomes will be provided on a monthly basis.
"Variability of care and lack of transparency have been prevalent issues
for the management of hemophilia members for a long time. By working
with Magellan, we anticipate meaningful outcomes from both a quality and
a financial perspective by standardizing treatment expectations for all
stakeholders. Our goal is to ensure patients with hemophilia are
receiving the highest quality of care, while minimizing potential waste
created through excess dispensing and inappropriate dosing," said
About Magellan Rx Management: Magellan Rx Management is a full-service PBM that expands beyond traditional core services to help its customers and members solve complex pharmacy challenges by connecting them to the people, technology and information they need to make smarter healthcare decisions. Magellan Rx Management is leading the next evolution of PBMs by using a value-driven approach that moves past the traditional volume-focused thinking to deliver true value-driven solutions, including targeted clinical programs, powerful member and provider engagement strategies, advanced analytics and expert specialty pharmacy management capabilities.
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