Controlling Specialty Costs
We identified an opportunity to save members millions of dollars in specialty medication costs – by managing specialty medication prior authorization functions within our Cooperative.
Since taking over specialty medication prior authorization functions, we have been able to demonstrate significant savings, an elevated level of clinical quality, and enhanced customer service. Based on historical trends and market comparisons, we estimate that National CooperativeRx’s specialty medication prior authorization program contributed to approximately $25 million in cost avoidance across our Cooperative in 2024.
Read our blog to learn more about the success of our specialty medication prior authorization program.