Survey for Payors 2019

1. Do you have your own PBM or use another? *This question is required.

• Yes
• No we use Please enter an 'other' value for this selection.

4. Do you cover Medicare lives? If yes, what is percent of overall membership you cover? *This question is required.

• Yes; Please enter an 'other' value for this selection.
• No

5. Do you own your own specialty pharmacy? If yes, how do you handle LDD's you don't have access to? If no, how many specialty pharmacies are in your network? *This question is required.

• Yes; Please enter an 'other' value for this selection.
• No; Please enter an 'other' value for this selection.

6. How many accreditation's do you require your specialty pharmacies to have?   *This question is required.

• 1
• 2
• 3+

7. What accreditation do you require for specialty pharmacies? *This question is required.

• URAC
• ACHC
• Other

8. Do you require different accreditation for your home infusion providers than you do for specialty pharmacy providers? If yes, which one(s)? *This question is required.

• Yes; Please enter an 'other' value for this selection.
• No

9. Do you have any health system specialty pharmacies in your network? If no, why not? *This question is required.

• Yes
• No; Please enter an 'other' value for this selection.

10. Does your organization own or partner with health system specialty pharmacies? If yes, is that pharmacy included in your pharmacy network for specialty drugs and is it required that your specialty prescriptions are serviced by external specialty pharmacies? *This question is required.

• Yes; Please enter an 'other' value for this selection.
• No

11. Check all that apply. Do you have specialty pharmacy providers who are: *This question is required.

• Exclusive to your members
• Preferred to your members
• Open networks to all providers

17. How often does your plan evaluate new applicants for specialty pharmacy enrollment to participate? *This question is required.

• Open enrollment via application
• Scheduled enrollment base on state and/or annual or bi-annual open windows

18. Does your plan offer specialty pharmacy providers a specialty medical contract? *This question is required.

• Yes
• No

19. Are you satisfied with the data you receive from specialty pharmacy providers? *This question is required.

• Yes
• No

22. Do you require service level agreements to ensure pharmacies adhere to your members' expectations? *This question is required.

• Yes
• No

25. Do you publish your specialty drug list? *This question is required.

• Yes
• No