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Home | News | Specialty Solutions Rx, Bringing New-Model PBM to Workers' Comp

Specialty Solutions Rx, Bringing New-Model PBM to Workers' Comp

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Andover, MA (WorkersCompensation.com) - A new-model Pharmacy Benefit Management (PBM) company has been established; introducing Specialty Solutions Rx exclusively to serve the Workers’ Compensation industry.

“Our innovative model offers a total solution, including prospective processes to better manage opioid activity, improve return-to-work and lower costs.”

What makes Specialty Solutions Rx unique—and uniquely better—is how this new PBM was designed to handle not only your simple claims but more importantly the complex claims, especially those involving opioids and other high-risk medications that drive up costs. The Specialty Solutions Rx model uses pharmacists with deep pain-management expertise to advocate for patients. The pharmacists proactively engage in a clinical two-point collaboration with the injured worker and treating physician. This assures proper pain management and avoids unnecessary exposure to high risk medications such as opioids.

A 2016 report from the CDC strongly advocates for pharmacists to be the front-line defense against the epidemic of opioid addiction. Specialty Solutions Rx is uniquely qualified to lead this cause in Workers Compensation. In addition to proactive communication, they leverage access to Prescription Drug Monitoring Program (PDMP) on a national basis to determine high-risk situations and act on information before dispensing medication to assure safety. This real-time, prospective approach can reduce addictions and save lives.

Workers’ Compensation expert, Maddy Bowling said: “The status quo is failing thus far to address the opioid addiction crisis. We need a model in the Workers’ Compensation PBM space that can identify high risk problems across all lines of healthcare coverage – from Primary Care to Medicare.”

Unlike traditional PBMs, Specialty Solutions Rx was built around best practices from health care and clinical pharmacy. As a result, Specialty Solutions Rx can deliver better outcomes for injured workers.

Mike Cirillo, Vice President Specialty Solutions Rx puts it this way: “Our innovative model offers a total solution, including prospective processes to better manage opioid activity, improve return-to-work and lower costs.” Mr. Cirillo adds: “The industry standard of retrospective utilization review is simply not enough. Our approach will change the industry.”

Specialty Solutions Rx offers clients flexibility. Clients can use the full, new-model PBM service, or they can keep their current PBM and use Specialty Solutions Rx's clinical pharmacy outreach model to address complex claims. 

About Specialty Solutions Rx: Specialty Solutions Rx is a new-model PBM combining proactive clinical pain-management and strong patient advocacy. Specialty Solutions Rx patients have access to over 68,000 retail pharmacies nationwide. It also partners with a workers’ compensation specialty pharmacy to provide clinical services for complex claims. 

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