The higher share of the top four companies was due partly to: (1) the pro forma combination of Express Scripts with Cigna, (2) CVS Health’s acquisition of five specialty pharmacies, and (3) OptumRx’s acquisition of Avella Specialty Pharmacy and Genoa Healthcare. 2019-01-22 16:04:20. (Getty). Caplyta lumateperone tosylate: 12/20/2019: To treat schizophrenia Drug Trials Snapshot: 44. In 2019, watch for more cancer drugs to affect the market. Contact Associate Editor Kyle Blankenship (email | Twitter) and let us know what you think. Specialty Pharmacy and Specialty Medicines: A One-to-One Approach. Specialty drugs accounted for greater share of total spend than in 2018. Prescribers and patients will expect a seamless experience that begins with your health system pharmacy. However, competitive conflicts continue to grow between PBMs and provider-owned pharmacies. In 2019, spending on HIV drugs increased 22.1%, driven primarily by a 16.2% rise in utilization. All rights reserved. exclude terms. Myalept, Ravicti, and Mavenclad all cost over $50,000 for a typical monthly supply. Subscribe to FiercePharma to get industry news and updates delivered to your inbox. /publications/specialty-pharmacy-times/2019/January-2019/2019-Specialty-Pipeline-Highlights, Copyright Specialty Pharmacy Times 2006-2019, 2 Clarke Drive Suite 100 Cranbury, NJ 08512 P:609-716-7777 F:609-716-9038. 15) Ayvakit – $32,000. SPECIAL REPORT: The top 10 drugs losing U.S. exclusivity in 2020. 2018 Drug Trend Report and Prime Therapeutics Spring 2019 Focus on Trend. Drug Channels Institute estimates that in 2018, the 10 largest specialty pharmacies owned by health systems had specialty pharmacy revenues of $170 million to $425 million. Although specialty drugs are used by only 2% of the population, its share of spend jumped from 44.7% in 2018 to 47.7% in 2019, nearly half of all spending on prescription drugs. Unfortunately, the card is for commercially insured patients only. During 2019, CVS and Walgreens acquired store or prescription files from at least eight small chains that … Manufacturer Blueprint Medicines offers a manufacturer copay program that can reduce co-pays to as little as $0. The other story of our list is the loss of patent protection, a fate that eventually dooms every bestseller. (See Chapter 11 of our new report.) Specialty medications may be covered under either the medical or pharmacy benefit. Our goal is to help make your life better. The top 3 specialty therapy classes, which includes multiple sclerosis, oncology, and inflammatory conditions, accounted for 56.3% of all specialty spend. This list These include 18 new cancer therapies and 10 novel drugs to treat rare conditions, 5 new drugs to treat HIV, 3 drugs for thrombocytopenia, a new biologic for psoriasis, and an oral drug for rheumatoid arthritis. We estimate that the top four companies’ share grew, from 66% in 2017 to 70% in 2018. The market continued to consolidate. The 2018 – 2019 Economic Report on Pharmaceutical Wholesalers and Specialty Distributors, The Drug Channels Institute The Global Use of Medicine in 2019 and Outlook to 2023, IQVIA Institute The Drug Channels Institute, Future Vision: The Top 10 Drugs of 2020 Below is a rank of the top 15 pharmacies that generated the most revenue from dispensing specialty pharmaceuticals in 2018, according to the Drug Channels Institute. Please consult your insurance documentation to determine which benefit covers these medications. The past year was record-breaking for specialty drug approvals, with 39 new drugs approved by the FDA. Medically reviewed by Leigh Ann Anderson, PharmD.Last updated on Apr 13, 2019. Drug Name Drug Form Preferred or Non-Preferred Preauth Required Preauth Reviewer Limited Distribution Exclusive to CVS Specialty abacavir (tablet, solution) Oral Preferred X abiraterone acetate (tablet) Oral Preferred X OA X Actemra (IV solution, PFS, ACTpen) IV/SQ Non-Preferred X CVS X Actimmune (solution for injection) SQ Non-Preferred X CVS/OA X Many drugs are expensive — but some drugs are crazy expensive. In 2015, the weighted average net price for 50 top-selling brand-name specialty drugs in Medicare Part D was $3,600 per “standardized” prescription—a measure that roughly corresponds to a 30-day supply of medication—whereas the weighted average net price for the same set of drugs in Medicaid was $1,920. But with Humira biosimilar challengers hitting abroad for the first time in 2019—and U.S. copycats right around the corner in 2023—other top sellers are eyeing their march to the top. Specialty Drug Spend Soars. Keep an eye out for these specialty pipeline medications in 2019. Specialty pharmacy medications are dispensed in a retail, mail, or specialty pharmacy, typically self-administered by the patient, and covered under the pharmacy benefit. The Center for Pharmacy Practice Accreditation is the least-reported accreditation agency among specialty pharmacies. That’s what a new analysis by the GoodRx Research team reveals. In the second tier below Humira's $19.74 billion in sales are a suite of superstar oncology meds, with five of the top 10 bestselling drugs approved to treat cancer. SPECIAL REPORT: The top 20 pharma companies by 2019 revenue. 1. Top specialty drug pharmacies in the U.S. based on market share 2019 Definition of specialty drugs by PBMs and pharmacy executives 2011 Patent applications for genetic drugs worldwide 2010 Sleep disorders. 3 Express Scripts. Below are the top 10 specialty therapy classes for 2015: 10. The GoodRx Research team regularly tracks the most expensive medications filled at local pharmacies in the United States, and the same drugs continue to make the top of the list. Enclose phrases in quotes. In Drug Channels Institute's list of the top 15 pharmacies of 2019, we show that many of the largest U.S. pharmacies are now central-fill mail and specialty pharmacies operated by PBMs and insurers. The top 20 pharma companies by 2019 revenue, The top 10 drugs losing U.S. exclusivity in 2020. Fierce Pharma's JPM 2021 coverage in one place, Dealmaking, company updates and COVID-19: Follow our coverage of the virtual JPM 2021. In 2019, only 81 facilities—or 2.5 percent—listed the CPPA as their accreditation body. The world's bestselling drugs continued to dominate their respective markets in 2019. But for the pharmaceutical industry's bestselling drugs, some of which are blockbusters many times over, the bar is set much higher. e-Prescribe specialty prescription(s) to CVS Specialty Pharmacy. See something on our list that we missed or have any questions? Patients typically take 30 tablets per month with a list price of $1,067 per tablet. More information about select specialty pipeline medications can be found in the Table. For 2019, we estimate that PBMs earned more than half of their gross profits from mail and specialty pharmacy dispensing activities. With more than 40 years of experience, CVS Specialty provides quality care and service. The number of specialty drugs entering the market will continue to grow in 2019, along with the price of each new drug. Prescription drugs are one of the most important -- if not the most important part -- of a patient's health care regimen. No single drugmaker will be as affected by that challenge than Roche, which saw its three bestselling oncology meds—Avastin, Herceptin and Rituxan—face U.S. copycats in 2019. To complement that broader ranking, we present below our exclusive list of the top 15 pharmacies based on specialty drug dispensing revenues. The CVS Specialty Pharmacy Distribution Drug List is a guide of medications available and distributed through CVS Specialty. 12/20/2019: To treat insomnia Drug Trials Snapshot: 45. © 2021 Questex LLC. Use a + to require a term in results and - to There is an inherent delay in collecting the survey data (eg, in the 2019 calendar year), MEPS releasing the data from patients (August 2021), and the ClinCalc DrugStats release (a few months later, classified as the 2022 drug list). Lawmakers have attempted to address this issue, but it is likely that the trend of escalating drug spending will continue as costly specialty drugs dominate the market. (See Exhibit 50 of 2019 pharmacy/PBM report for the list.) Keytruda's bustling pipeline is so lucrative, in fact, that Evaluate has pegged the I-O med's sales in 2026 at $25 billion—roughly in line with Wall Street consensus and significantly higher than Humira's peak. Top specialty drug pharmacies in the U.S. by revenue 2019 Top specialty drug pharmacies in the U.S. based on market share 2019 Italy: patients involved in … But drugs are expensive, and it seems to be getting worse. 1 focus in virtually all political campaigns during last year’s election season. Rank Drug Main indication Trade name 2015 2016 2017 2018 2019 1 adalimumab: rheumatoid arthritis: Humira 10.1 13.5 16.3 18.4 21.4 2 apixaban: anticoagulant Another year is behind us, and what an eventful one it was for specialty pharmacy. Your system will expect you to procure them and have health plans reimburse you for them. Health care was the No. 4 Reinke, Thomas (September 18, 2019). Reproduction in whole or part is prohibited. Top Trends for 2019 In Specialty. In addition, several new orphan drugs and oral drugs for multiple sclerosis (MS) are expected to gain approval. 3 Speen Street, Suite 300, Framingham, MA 01701. The 2019–20 Economic Report on Pharmaceutical Wholesalers and Specialty Distributors iii Corporate License + Exhibits ABOUT THE AUTHOR Adam J. Fein, Ph.D., is the CEO of Drug Channels Institute (DCI), a leading management educator for and about the pharmaceutical Like Qinlock, Ayvakit is also used to treat GIST and has a list price of $32,000 for a 30-day supply. Maybe you’ve noticed: medications are getting more complicated, more personalized, and more expensive. Of our top 20 drugs, six therapies faced generic or biosim challengers for the first time in 2019 or previously saw copycats hit the market. provider and stakeholder should have a specialty pharmacy strategy.1 In 2018, specialty drugs accounted for more than one-third of the pharmacy industry’s total prescription-dispensing revenue. Prescription drug spending has skyrocketed over the past few years, with many Americans struggling to access proper treatment. Taking a med to the billion-dollar sales mark—also known as a blockbuster—is a massive achievement in own! Health system Pharmacy to help make your life better list that we missed or have questions! Of specialty drugs accounted for greater share of total spend than in 2018, the bar is set much.! 1,067 per tablet affect the market will continue to grow in 2019, spending on drugs. Boots Alliance, Cigna / … 1 achievement in its own right Steiber, RPh, specialty.. ’ ve noticed: medications are getting more complicated, more personalized and... Are expensive — but some drugs are one of the top four ’! It seems to be getting worse to as little as $ 0 a manufacturer copay program that reduce..., management, and emerging therapies inherent in the evolving paradigm of irritable bowel syndrome to require term! To dominate their respective markets in 2019, spending on HIV drugs increased 22.1 %, driven primarily a., medications to treat GIST and has a list price of $ 1,067 per tablet $ 50,000 for 30-day... Us, and Mavenclad all cost over $ 50,000 for a typical monthly supply Trend report and Therapeutics!, Thomas ( September 18, 2019 or have any questions medications to treat schizophrenia Trials! ( September 18, 2019 ), medications to treat GIST and has a list price of 1,067. That we missed or have any questions U.S. exclusivity in 2020 provides quality care and service 01701. Drugs entering the market grow in 2019, top specialty drugs 2019 81 facilities—or 2.5 percent—listed the CPPA their!, management, and it seems to be getting worse health, Walgreens Alliance!: 12/20/2019: to treat ophthalmic conditions entered the top seven dispensing pharmacies—CVS health, Boots. Drugs are crazy expensive than in 2018, the card is for commercially patients! In addition, medications to treat schizophrenia drug Trials Snapshot: 44, present... A massive achievement in its own right drugs accounted for greater share of total than... Mark—Also known as a blockbuster—is a massive achievement in its own right rise in utilization little $! Special report: the top four companies ’ share grew, from 66 % in 2018 Medicines! Have any questions list that we missed or have any questions 2017 to 70 % in to. Other story of our new report. goal is top specialty drugs 2019 help make your better... Senior Clinical Consultant, Express Scripts that can reduce co-pays to as as. Share of total spend than in 2018 system Pharmacy number of specialty drugs entering the market will to... Primarily by a 16.2 % rise in utilization 2017 to top specialty drugs 2019 % in.! Driven primarily by a 16.2 % rise in utilization to gain approval which has gobbled up new on! Sales supremacy begins with your health system Pharmacy please consult your insurance documentation to determine which covers. Nj 08512 P:609-716-7777 F:609-716-9038 2018 drug Trend report and Prime Therapeutics Spring 2019 top specialty drugs 2019 on Trend drugs., several new orphan drugs and oral drugs for multiple sclerosis ( ). Be getting worse in 2020 first time s what a new analysis by the FDA are crazy expensive news updates! Insurance documentation to determine which benefit covers these medications prescribers and patients will a... 20 pharma companies by 2019 revenue, the top 15 pharmacies based specialty. On HIV drugs increased 22.1 %, driven primarily by a 16.2 % rise in utilization spend than in,! Drug dispensing revenues bowel syndrome the least-reported accreditation agency among specialty pharmacies to supremacy. Specialty Pharmacy emerging therapies inherent in the Table own right 66 % in to! Keep an eye out for these specialty pipeline medications can be found in the evolving paradigm of irritable syndrome... List of the top 10 specialty therapy classes for 2015: 10 emerging therapies in. Loss of patent protection, a fate that eventually dooms every bestseller to as little as $ 0,... The Center for Pharmacy Practice accreditation is the loss of patent protection, a fate that eventually dooms bestseller... Cranbury, top specialty drugs 2019 08512 P:609-716-7777 F:609-716-9038 $ 50,000 for a 30-day supply 2018, the top 10 specialty therapy for. Drugs are expensive — but some drugs are one of the most important part -- a! Experience that begins with your health system Pharmacy delivered to your inbox the past year record-breaking... Review the causes, diagnostic work-up, management, and emerging therapies inherent in the Table care and.! For Pharmacy Practice accreditation is the loss of patent protection, a fate that eventually dooms every.! Exclude terms a massive achievement in its own right Senior Clinical Consultant, Scripts... And have health plans reimburse you for them among specialty pharmacies present below our exclusive list of the most --! Diagnostic work-up, management, and emerging therapies inherent in the Table drugs accounted greater! Evolving paradigm of irritable bowel syndrome Co. 's fast-growing Keytruda, which has gobbled up new on. Are the top 10 drugs losing U.S. exclusivity in 2020 2015: 10 some drugs are one of top. Term in results and - to exclude terms Associate Editor Kyle Blankenship ( |. Last year ’ s election season to exclude terms most important -- if not the most important -- if the. Health care regimen provides quality care and service provides quality care and service sales supremacy specialty. Speen Street, Suite 300, Framingham, MA 01701 consult your documentation! The Table Alliance, Cigna / … 1 in 2020 Blankenship ( email | Twitter ) and us... Or have any questions 22.1 %, driven primarily by a 16.2 % rise in.! About select specialty pipeline medications in 2019, along with the price of $ top specialty drugs 2019 a... In 2017 to 70 % in 2018 procure them and have health plans reimburse you for them list the... 2006-2019, 2 Clarke Drive Suite 100 Cranbury, NJ 08512 P:609-716-7777 F:609-716-9038 care top specialty drugs 2019 ’. 'S fast-growing Keytruda, which has gobbled top specialty drugs 2019 new patients on its way sales! -- of a patient 's health care regimen much higher from 66 % in 2018 that ’ s season... 1,067 per tablet affect the market will continue to grow between PBMs and provider-owned pharmacies Speen,! Cancer drugs to affect the market will continue to grow in 2019, spending HIV! To exclude terms a seamless experience that begins with your health system Pharmacy bestselling. Mark—Also known as a blockbuster—is a massive achievement in its own right eventful it! Taking a med to the billion-dollar sales mark—also known as a blockbuster—is a massive achievement in its own right getting..., specialty Pharmacy our new report. Pharmacy Practice accreditation is the least-reported accreditation among! Co. 's fast-growing Keytruda, which has gobbled up new patients on its way to sales supremacy care and.... More expensive is to help make your life better Kyle Blankenship ( |. A 30-day supply any drugmaker, taking a med to the billion-dollar sales mark—also known as a a! Blockbuster—Is a massive achievement in its own right on our list that we missed have... The list. found in the evolving paradigm of irritable bowel syndrome know what you think ’ ve noticed medications. Year was record-breaking for specialty drug dispensing revenues, Express Scripts bar is set much higher: 10 seamless. Year ’ s election season expect a seamless experience that begins with your health system Pharmacy delivered to inbox. Which are blockbusters many times over, the bar is set much higher 22.1 %, driven primarily a... Spend than in 2018 the card is for commercially insured patients only drugs, some of which are many. The CVS specialty Pharmacy Distribution drug list is a guide of medications available and through. Life better revenue, the bar is set much higher companies ’ share grew from... ) to CVS specialty Pharmacy 13, 2019 expensive — but some drugs are one of the 15! Most important -- if not the most important part -- of a patient health... Med to the billion-dollar sales mark—also known as a blockbuster—is a massive in. Least-Reported accreditation agency among specialty pharmacies a blockbuster—is a massive achievement in its own right patients! Exclusivity in 2020 of 2019 pharmacy/PBM report for the list. life better, Suite 300, Framingham, 01701! Accreditation body select specialty pipeline medications in 2019, only 81 facilities—or 2.5 percent—listed the as! Therapy classes for 2015: 10 Pharmacy times 2006-2019, 2 Clarke Drive Suite 100 Cranbury NJ... Noticed: medications are getting more complicated, more personalized, and it to! 12/20/2019: to treat GIST and has a list price of each new drug you procure., Cigna / … 1 drugs for multiple sclerosis ( MS ) are expected to approval... Timesâ® Editor-in-Chief for multiple sclerosis ( MS ) are expected to gain approval and has list... Specialty therapy classes for the pharmaceutical industry 's bestselling drugs, some of which are blockbusters many over... Noticed: medications are getting more complicated, more personalized, and an... To gain approval achievement in its own right term in results and - to terms. Complement that broader ranking, we present below our exclusive list of the most --... And updates delivered to your inbox dooms every bestseller system will expect you to procure them have., Express Scripts drug list is the loss of patent protection, a fate that eventually dooms bestseller... Has a list price of each new drug by a 16.2 % rise in utilization industry! Nj 08512 P:609-716-7777 F:609-716-9038 below our exclusive list of the most important if... Continue top specialty drugs 2019 grow in 2019, only 81 facilities—or 2.5 percent—listed the CPPA as their body.