Be a champion for patient affordability
HELP FOR HIGH-COST THERAPIES
 

Be a champion for patient affordability

Even with insurance approval, the high cost of medications and related expenses can be a significant barrier to specialty care. Support your brand’s clinical mission with PharmacyElite™ to help patients find affordability programs.

YOUR STRATEGY, OUR SUPPORT
 

Let our experts support your biopharma affordability program

After patients receive a diagnosis, discuss options with their provider and are approved for a specialty pathway, the question of affordability must be addressed before the care plan moves forward. PharmacyElite supports your biopharma affordability program by vetting and connecting patients with programs designed to put cancer and rare disease care within their financial reach.

Our difference

PharmacyElite is our hub services solution staffed by high-touch patient access specialists with deep experience in the unique affordability challenges of cancer and rare disease journeys.

We know specialty, and we know what resources are available

With more than three decades of experience in the specialty space, we’re familiar with the many affordability programs that exist for oncology, rare disease and cell & gene therapy (CGT) — as well as their criteria for patient eligibility. Our patient access specialists proactively cross-reference our database of lists for sponsored financial support options that could be a match. Depending on the program, our vetting process may include a soft credit check, income documentation or other criteria.

Next, we provide patients with contact information for the appropriate charities. We then guide patients through the application process in compliant, structured and therapy-specific workflows. We also manage the reapplication life cycle. Throughout the process, we maintain clear communication with prescribers to keep them apprised of approvals or any further documentation they may need to provide.

PharmacyElite affordability services may include:

  • Quick start application coordination
    We deliver compliant enrollment support to help patients connect with quick start programs — temporary financial assistance focused on accelerating time to therapy.
  • Copay program management and free drug application support
    We support free drug programs and provide enrollment support for reduced copay offerings administered by third-party partners. Once a patient is qualified, we’re able to triage to a non-commercial pharmacy that offers free drug dispensing.
  • Support for your grant-based programs
    For foundation and 501(c)(3) grants and programs, we educate patients on potential opportunities and provide enrollment guidance to prepare them to apply
  • Bridge enrollment guidance
    When patients lose their jobs or face similar financial challenges, their continuity of care could be jeopardized. PharmacyElite connects them with potential sources for temporary bridge solutions and lets them know what’s required to apply.

Business rules, program rules and compliance

The PharmacyElite team follows your business requirements document (BRD) throughout the process as we support your biopharma affordability program and help patients connect with financial assistance. Program rules are applied consistently, reflecting each manufacturer’s criteria — and we do so within a flexible, compliant workflow that integrates with your preferred copay partners.

Designed for complex patient journeys

Purpose-built hub programs supporting oncology, rare disease and cell & gene therapy.

Coverage and reimbursement alignment

Support for navigating coverage requirements and reimbursement considerations across complex specialty therapies.

Supporting continuity of care

Hub-based support designed to help address barriers that may disrupt treatment and continuity of care.