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2023 DRUG TREND REPORT

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Affordability and Exceptional Care

Managing cost while also improving a patient’s health and quality of life are guideposts for our enterprise pharmacy solutions. Lumicera, our specialty pharmacy established 10 years ago, deploys an actual acquisition cost-plus model rarely seen within the market. We believe Lumicera remains the only true cost-plus specialty pharmacy in the United States.  

Cost-plus for Lumicera is defined as acquisition cost plus a set fee for patient management. Other pharmacies apply a percentage-based fee on the drug cost. This can disincentivize the use of lower-cost, clinically appropriate medication because pharmacy revenues increase with higher drug costs. This also leads to higher costs for clients and patients. Lumicera charges a flat fee based on the complexity of care and special handling of the medication. 

Lumicera's cost-plus model, in combination with the pass-through approach of Navitus, reduces the amount that clients and patients pay to access important medications. 

Lumicera Novel Business Graphic-01-Jun-25-2024-02-46-27-5939-PM


Exceptional Patient Care and Satisfaction

Lumicera demonstrates excellence in supporting patients on complex therapies. Under their care model, patients access:Lumicera NPS and Patient Satisfaction-01-01-1

  • Streamlined onboarding processes to expedite the time to start treatment 
  • Prior authorization support to navigate insurance protocols 
  • Specialized pharmacists who are able to provide disease state expertise and education throughout their journeys

This personalized support contributes to therapy compliance rates greater than 90%2.

 

Bridging the Care Gap

Centers of Excellence (CoE)
Lumicera’s Centers of Excellence include oncology, neurology, and immunology. Pharmacists are specially trained to care for patients with these conditions with consideration for clinical, financial and service needs for these complex conditions.

Medication Adherence support
Managing specialty conditions is complex and often includes the administration of biologics either via injection or infusion. Lumicera’s patient support model includes a digital platform that delivers personalized information with reminders to drive proactive adherence steps.

1 Lumicera Health Services. 2023. Business Operations Reporting. Unpublished internal company data.
2 Lumicera Health Services. 2023. Top 5 Disease State Adherence Rate Measurement. Unpublished internal company data.

Download Your Free Copy of the 2023 Drug Trend Report Executive Summary

An in-depth analysis of trend, pipeline and GLP-1 management approaches
 
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