Specialty Care

Specialty Care

We understand how to simplify your care so you can have a seamless treatment journey and peace of mind.

How we care for you

Specialty Care is a program designed to help remove the complexity from the care you need. We adopt a member-centric approach and assign a dedicated case manager to support you along your treatment journey. We provide day-to-day strategies and help plan members - and plan sponsors - get more value out of specialty medication. Let’s get you set up.

Prior Authorization

We ensure employees are on the right medication, for the right medical condition so everyone gets the most from their drug benefits. Our experts review each specialty drug to ensure appropriate use. Our patient representatives provide timely and responsive support to plan members and their prescribers, and help process your prior authorization request.

Access your forms here and begin the process.

Specialty Drug Search

Case Management

When it comes to specialty care, everyone’s needs are different. That’s why we pair each employee with a case manager who answers all questions about specialty therapy and helps take the complexity out of your care. Your case manager will help with medication guidance and adherence and help minimize any out of pocket expenses.

Compassionate care

Compassionate care

Managing prescription expenses and find ways to fund your co-pay

Managing prescription expenses and find ways to fund your co-pay

Positive health behaviours

Positive health behaviours

Ongoing wellness checks

Ongoing wellness checks

88%

of Canadians live within 10km of our pharmacy locations

Preferred Pharmacy Network (PPN)

Our PPN offers savings to both you and your employer, as well as access to the most comprehensive pharmacy network in Canada:

  • Savings from preferred pricing
  • Access to Pharmacists
  • Over 1750 locations across Canada
  • Medication adherence management
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Specialty Formulary Management

We help support all components that go into deciding how specialty drugs are integrated into an employee’s benefits.

Critically review medical literature on a drug, assess utilization and evaluate for formulary listing

Offer cost stewardship and drive value with biosimilar options.

Support in managing specialty drug DIN lists.

Work with insurance carriers and Pharmacy Benefit Managers to support drug adjudication and dispensing

For more information or to add Specialty Care to your suite of benefits, please contact sales@healthsolutions.com.