HDMA survey of specialty distribution: sales to physicians' offices have dropped by 66% - Pharmaceutical Commerce:
"A recap helps explain: Specialty pharmaceuticals differ from traditional pharma products in that they tend to be “high touch”—needing numerous ancillary services such as infusion, monitored dispensing, REMS, or followup care. As they tend to be expensive, the reimbursement / prior authorization / patient-support questions are also complex. Oncology products, in particular, have traditionally been purchased under a “buy and bill” model by physicians’ practices, but this is fading (as the HDMA date show) in place of sales to specialty pharmacies and health systems."
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