Survey for Payors 2020

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 percent of overall membership do you cover? *This question is required.

• Yes: Please enter an 'other' value for this selection. * This question is required.
• 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 accreditations do you require your specialty pharmacies to have?   *This question is required.

• 1
• 2
• 3+

7. Which accreditation(s) 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? *This question is required.

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

11. If yes, are these health system partner pharmacies included in your pharmacy network for specialty drugs? *This question is required.

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

12. If not, is it required that your members' specialty prescriptions are serviced by external, non-health system specialty pharmacies? *This question is required.

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

13. Do you have specialty pharmacy providers who are (check all that apply): *This question is required.

• Exclusive to your members
• Preferred to your members
• Open networks to all providers
• Other - please describe Please enter an 'other' value for this selection.

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

• Open enrollment via application
• Scheduled enrollment based on state and/or annual or bi-annual open windows
• Other - Write In Please enter an 'other' value for this selection.

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

• Yes
• No

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

• Yes
• No (please note 1-2 areas of deficiency): Please enter an 'other' value for this selection.
• We do not require data from our SP

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

• Yes
• No

26. Do you have any specialty value-based or risk-sharing contracts? If yes, please describe. *This question is required.

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

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

• Yes
• No