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Managing the Onslaught of Biotech Injectables

The steady stream of new biologics is putting increasing pressure on both payers and manufacturers to re-evaluate long-standing ways of doing business. The average retail pharmacy--or PBM for that matter--isn't equipped to deal with complexities related to these drugs and hence the need for SPPs--special pharmaceutical providers. SPPs have started up in abundance in recent years to handle therapeutics with difficult administrative regimens and high costs. Biotech companies are using them in a variety of ways.

The steady stream of new biologics—by some counts more than 300 biologics are in development or under FDA review--puts increasing pressure on both payers and manufacturers to re-evaluate long-standing ways of doing business. The average retail pharmacy isn't equipped to deal with the complexities related to these drugs, many of which are expensive, require special handling, and are aimed at chronic conditions; nor are pharmacy benefits managers (PBMs), which dispense prescriptions for millions of Americans.

In response to what they see as an onslaught, payers are examining ways to more actively manage injectables. Most plans...

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