Services

Provider-Administered Drug Launch Support

Launching a provider-administered drug is an entirely different challenge than introducing a new self-administered product. We specialize in helping our clients navigate this unique process.  Alchemy has supported over 120 new drug and HCPCS code launches over the past 10 years.  The products we have supported have generated over $100 Billion dollars in sales since launch.

Our Launch Support Services Include:

  • Pricing analytics and strategy
  • Payer Communications
  • HCPCS Coding strategy and requests
  • Payer claims system research and reporting to ensure adoption of new codes and price changes

Provider-Administered Drug Reimbursement and Coverage Support

Provider-administered drug coverage is becoming increasingly complex.  Coverage is dependent on Medical Policy, Site of Service restrictions, Plan Benefit design, and other factors unique to this space.  Our expert team can help assess your product’s current product coverage landscape and identify opportunities for access enhancement.

We utilize our ReimbursementPro.com system to deliver Payer and Plan level actionable insights to your team including:

  • Medical Policy Research, Reporting and Analytics
  • Billing and Coding requirements
  • Site of service requirements
  • Access details for Medical and Pharmacy Benefit
  • Reimbursement Rates

Drug Price Consulting and Maintenance

Drug pricing strategy for provider-administered products is complex and requires the consideration of many government, payer, and provider stakeholders.  There are multiple key pricing and coding databases used by payers, pharmacies, providers, IDN systems, EMR vendors, and claims processors that must be continuously monitored and updated.

Our team can help with the following:

  • Launch pricing and drug price change strategy.    
  • Drug database notifications for new products, new NDC introductions, or NDC de-activations
  • Drug database notifications for price changes
  • Drug database monitoring
  • Drug database corrections
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