Gifthealth's manufacturer partner faced a significant challenge achieving market share for their brand name gastroenterology medication in a generic-dominated market. The majority of brand bowel preparations face an uphill battle when trying to penetrate this heavily generic market.
By implementing an automated enrollment process for copay card applications, Gifthealth successfully reduced patient costs for in Out of Pocket uncovered claims by an average of $69. A similar strategy was applied to covered claims, further decreasing patient costs. Gifthealth's automated approach resulted in gross-to-net advantages for our partner by intelligently directing discount applications along the most efficient path.
Gifthealth's streamlined processes and advanced technology greatly reduced prescriber callbacks, relieving busy provider offices. Challenges of medication effectiveness during the transition from Manufacturer B drug (renowned for superior bowel preparation and enhanced adenoma detection) were addressed. With automated prescription processing and system integration, accurate and timely medication dispensing also optimized fill rates, reduced reversals, and enhanced patient care.
The manufacturer was able to achieve an average time to fill of 1.42 days by utilizing Gifthealth’s pharmacy network - significantly outperforming the industry average of 5.79 days (URAC).
These strategies resulted in a remarkable 90% brand dispense rate for Gifthealth'’s client in a generic-dominated market, boosting market share and establishing their drug as a preferred choice among prescribers and patients across the entire US.
As a testament to Gifthealth's successful solutions, the partnership expanded its scope to include five additional drugs from the manufacturer's portfolio. Additionally, a consignment model was implemented to expand access to more patients with potential insurance obstacles.