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| NATIONAL | ASSOCIATION | OF |
| SPECIALTY | PHARMACY | |
1800 Diagonal Road
| Suite | 600 | |
| Alexandria, | VA | 22314 |
www.naspnet.org
| NASP | Definitions | of | Specialty | Pharmacy | and | Specialty | Medications |
| February | 24, | 2016 | | | | | |
| The | National | Association | of | Specialty | Pharmacy | | | | | | | | | | | |
| The | following | definitions | of | specialty | pharmacy | and | specialty | medications | were | developed | by | | | | | |
| the | National | Association | of | Specialty | Pharmacy | (NASP). | | NASP | was | founded | in | 2012 | to | represent | | |
| the | rapidly | growing | specialty | pharmacy | industry | in | the | United | States. | | It | is | projected | that | | |
| specialty | drugs | will | represent | 50% | of | the | US | drug | spend | by | the | year | 2019. | Currently, | NASP | is |
| comprised | of | 84 | corporate | members | and | 1,500 | individual | members, | including | the | nation’s | | | | | |
| leading | independent | specialty | pharmacies, | retail | chain | specialty | pharmacies, | and | health | | | | | | | |
| system-based | specialty | pharmacies. | NASP | is | committed | to | specialty | pharmacist | education | and | | | | | | |
| certification | and | strongly | invested | in | the | continuing | improvement | of | specialty | pharmacy | | | | | | |
| practice | as | advances | in | medicine | and | treatment | regimens | emerge. | | | | | | | | |
| What | is | a | Specialty | Pharmacy? | | | | | | | | | |
| A | specialty | pharmacy | is | a | state-licensed | pharmacy | that | solely | or | largely | provides | only | |
| medications | for | people | with | serious | health | conditions | requiring | complex | therapies. | These | | | |
| include | conditions | such | as | cancer, | hepatitis | C, | rheumatoid | arthritis, | HIV/AIDS, | multiple | sclerosis, | | |
| cystic | fibrosis, | organ | transplantation, | human | growth | hormone | deficiencies, | and | hemophilia | and | | | |
| other | bleeding | disorders. | In | addition | to | being | state-licensed | and | regulated, | specialty | | | |
| pharmacies | should | be | accredited | by | independent | third | parties | such | as | URAC®, | the | | |
| Accreditation | Commission | for | Health | Care | (ACHC), | the | Center | for | Pharmacy | Practice | | | |
| Accreditation | (CPPA) | or | the | Joint | Commission, | in | order | to | ensure | consistent | quality | of | care. |
| Specialty | pharmacies | connect | patients | who | are | severely | ill | with | the | medications | that | are | |
| prescribed | for | their | conditions, | provide | the | patient | care | services | that | are | required | for | these |
| medications, | and | support | patients | who | are | facing | reimbursement | challenges | for | these | highly | | |
| needed | but | also | frequently | costly | medications. | | | | | | | | |
| Specialty | medications | have | a | complex | profile | that | require | intensive | patient | management. | | | | | |
| Some | specialty | medications | also | require | special | handling. | Though | some | are | taken | orally, | many | | | |
| of | these | medications | need | to | be | injected | or | infused, | some | in | a | doctor’s | office | or | hospital. |
| Specialty | pharmacies | provide | services | that | include | training | in | how | to | use | these | medications, | | | |
A t t a c h m e n t 1 6
NASP Definitions-February 24, 2016 2
| comprehensive | treatment | assessment, | patient | monitoring, | and | frequent | communication | with |
| caregivers | and | the | patient’s | physician | or | other | healthcare | providers. |
| The | expert | services | that | specialty | pharmacies | provide | drive | adherence | and | persistency, | proper | |
| management | of | medication | dosing | and | side | effects, | and | ensure | appropriate | medication | use. | |
| The | specialty | pharmacy’s | patient-centric | model | is | designed | to | provide | a | comprehensive | and | |
| coordinated | model | of | care | for | patients | with | chronic | illnesses | and | complex | medical | conditions, |
| achieve | superior | clinical | and | economic | outcomes, | and | expedite | patient | access | to | care. | |
| What | is | a | Specialty | Medication? | | | | | | | | | | |
| Specialty | drugs | are | more | complex | than | most | prescription | medications | and | are | used | to | treat | |
| patients | with | serious | and | often | life | threatening | conditions | including | cancer, | hepatitis | C, | | | |
| rheumatoid | arthritis, | HIV/AIDS, | multiple | sclerosis, | cystic | fibrosis, | organ | transplantation, | human | | | | | |
| growth | hormone | deficiencies, | hemophilia | and | other | bleeding | disorders. | These | medications | may | | | | |
| be | taken | orally | but | often | must | be | injected | or | infused | and | may | have | special | administration, |
| storage | and | delivery | requirements. | Many | of | these | injectable | medications | are | self-administered | | | | |
| in | the | patient’s | home. | Infused | specialty | medications | are | administered | in | various | treatment | | | |
| settings | such | as | a | patient’s | home | with | the | support | of | a | home | health | care | professional, |
| sometimes | in | a | doctor’s | office | or | even | in | a | hospital. | | | | | |
| The | complexity | of | these | medications | may | be | due | to | the | drug | itself, | the | way | it | is | administered, |
| the | management | of | its | side | effect | profile, | the | disease | or | condition | it | is | used | to | treat, | special |
| access | conditions | required | by | the | manufacturer, | payer | authorization | or | benefit | requirements, | | | | | | |
| patient | financial | hardship | or | any | combination | of | these. | As | a | result, | patients | being | treated | with | | |
| specialty | medications | require | comprehensive | patient | care, | clinical | management, | and | product | | | | | | | |
| support | services. | | | | | | | | | | | | | | | |
| Specialty | prescription | medications | cannot | be | routinely | dispensed | at | a | typical | retail | community | |
| pharmacy | because | the | therapy | typically | requires | special | handling | as | well | as | significant | patient |
| education | regarding | appropriate | utilization. | Typical | retail | pharmacies | are | not | designed | to | | |
| provide | the | patient | care | or | other | services | that | specialty | medications | require. | | |