The Edge

News and insights that give you an advantage.

March 2019

Dave paves the way to smooth pharmacy benefits with training, technology and strong leadership.

Putting ourselves in the shoes of plan members is not difficult, since CastiaRx employees are, after all, healthcare consumers who also use CastiaRx as our PBM. We understand how vital it is to anticipate and meet the needs of members at every step of the journey – without stress or complication – as part of our commitment to great service.

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Opioid safety: Doing the right thing – a patient success story.

Subsys is a Fentanyl sublingual spray used to treat breakthrough cancer pain — approved only for cancer patients on round-the-clock opioids. When our Prior Authorization (PA) team received a request marked, “URGENT – Cancer Pain – Patient Almost out of Medication,” it was approved for a one-time, 30-day fill with chart notes requested. Eight days later, the same type of request was received again, but with an increased dose. Cost of the medication was more than $18,000 for eight days.

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Welcome to Clinical Corner, your resource for pharmacy news.

Behind the scenes, our CastiaRx Drug Information Team works diligently to help you avoid surprises – by giving you the latest news, updates and industry insights you need to manage your pharmacy benefits. With the launch of our new Clinical Corner, these materials are gathered in one convenient online location, categorized and easily accessed any time.

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High-tech specialty pharmacy opens in Chandler, AZ.

With specialty pharmacy the fastest growing cost within healthcare, we’ve opened a new specialty pharmacy to ensure we have the capacity, pharmacy services and clinical staff to efficiently meet growing demand for these specialized medications.

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Introducing Cornell Beck: Building a lean, not so mean, mail order machine.

We’re excited to introduce you to Cornell Beck, our new CastiaRx Associate VP and GM of Mail Order. Known in the industry as a client-focused senior leader and change agent, Cornell combines 20+ years of leadership expertise in healthcare and business settings with a keen understanding of people, processes and IT technology. He is well equipped to lead the charge to care for you and your members.

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Digital Member Center – new features and more ways to connect.

Your plan members are more connected than ever, using digital technology in nearly every aspect of daily life. They expect the same convenience when managing their health. CastiaRx is excited to provide a robust digital Member Center to help them leverage the power of prescriptions in fighting disease and maintaining their health! Using the latest technology, it’s easy for members to keep track of prescription information with:

  • Enhanced home delivery features that now make it easy for members to order refills, choose auto refill and track prescriptions.
  • Tools to make better choices. Using Medication Lookup, members can check formulary coverage, find alternatives that save money, review drug interactions and check side effects.
  • A look-up tool to compare prescription costs at different pharmacies – coming soon!

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CastiaRx pharmacy audits uncover $1+ million in savings for clients in 2018.

To ensure prescriptions are processed correctly and you pay for legitimate pharmacy claims, CastiaRx conducts regular pharmacy audits and reviews. Most findings involve simple errors, but those errors can add up to significant dollar amounts. “In 2018, we audited more than 1,200 commercial pharmacies, resulting in over $1,100,000 in plan savings for our clients,” says Christos Ioannou, VP of Industry Relations.

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13 limited distribution drugs added in 2018 bring our LD portfolio to 120+.

There are times drug manufacturers decide to release new drugs in “limited distribution.” This means a subset of highly qualified pharmacies compete to earn the right to distribute the new drug to patients. CastiaRx, as a Diplomat company, gives our clients access to more than 120 limited distribution drugs. These drugs often treat highly specialized conditions or may be for a rare disease.

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Thanks for reading The Edge.

We hope you find valuable information in each issue of our CastiaRx bulletin, The Edge. This bimonthly publication highlights our commitment to your success and is produced exclusively for CastiaRx clients. Please contact your account manager for more information about any topic.