Managing the Specialty Drug Cost Challenge: Is Your Pharmacy Benefits Strategy Ready?
Pharmacy
Delivering better pharmacy outcomes
Rising pharmacy costs are one of the biggest pain points for self-insured employers. As specialty and high-cost drugs such as GLP-1s continue to become more prevalent and more expensive, it’s imperative to implement an effective cost-control strategy that doesn’t disrupt the member experience. Quantum Health is uniquely positioned to help control these costs through our comprehensive approach to healthcare navigation, which includes built-in specialty pharmaceutical services.
Introducing our new GLP-1 Weight Management Solution
Leveraging clinical expertise, health coaching and holistic care coordination to ensure improved outcomes, member support and cost savings.
GLP-1 strategies, trends and what's next
GLP-1 medications are making a significant impact on weight management, clinical outcomes and employer healthcare costs. Explore expert perspectives on how these treatments are shaping benefits strategies — and what’s on the horizon.
Cost Savings
Manage specialty drug costs with confidence
Specialty drugs are essential, but rising costs can burden self-insured employers. Quantum Health’s pharmacy services help manage these expenses through smart site-of-care strategies and utilization management, ensuring members receive the right care at the right cost. Our process reviews service authorizations and shifts treatments to more affordable sites, reducing unnecessary spending.
Curious about your potential savings? Use the slider to select your plan size and see your estimated annual pharmacy savings.
Actual savings will vary based on factors like whether your organization operates as a health system, uses lockout lists, or partners with third-party administrators (TPAs) or pharmacy benefits managers (PBMs).
$2,184,000
annual pharmacy cost savings50,000
employeesStudy
Study outlines how we help employers reduce costs
New research quantified how much savings Quantum Health delivers on medical specialty drugs. Read a high-level summary of the study, outlining how our team provides personalized support and clinical expertise to help every member get the most clinically appropriate, cost-effective care possible.
Quantum Health expands specialty pharmacy services to control rising costs
Newly launched Premier Pharmacy solution expands Quantum Health’s specialty drug support from the medical plan into the pharmacy plan, leveraging our clinical expertise to guide members to cost-effective, clinically equivalent alternatives, helping self-insured employers save money.
Numbers to know
56%
of employers’ total drug spend dedicated to specialty medications by 2027¹
$222K
median price of 37 new specialty drugs approved by FDA in 2022²
$2.08
per member, per month (PMPM) savings delivered by Quantum Health³
1. AON Benefits Survey of Hospitals, 2022.
2. Business Group on Health. 2024 Large Employer Health Care Strategy Survey. August 2023.
3. Quantum Health internal analysis, 2023.
Pharmacy thought leadership
From guiding medication management to building trust and addressing care gaps, explore insights and solutions that empower pharmacies to better support the unique healthcare needs of your organization.
Let's tackle your top pharmacy challenges
Connect with us to learn how we can help you fight rising costs and streamline your pharmacy strategy.