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Survey for Specialty Pharmacies 2020

1. What is your title? *This question is required.

Please enter an 'other' value for this selection.

2. How long have you worked in specialty pharmacy? *This question is required.

3. What disease states do you service in your specialty pharmacy model? *This question is required.

4. Has your patient census grown in the last year? *This question is required.

5. Which specialties are driving growth? *This question is required.

6. How is the low unemployment rate impacting your ability to hire the right people? *This question is required.

7. What percent growth in full-time employees do you anticipate in 2020-2021? *This question is required.

8. How many full-time employees do you have?

9. What is your annual revenue?

10. By what percentage has your revenue increased/decreased in the past year? *This question is required.

11. What has been your biggest challenge to growth? *This question is required.

12. What has been your second biggest challenge to growth? *This question is required.

13. What have been the biggest challenges in 2019 vs. 2018? *This question is required.

14. Do you have access to limited distribution drugs (LDDs)? *This question is required.

Please enter an 'other' value for this selection.

15. Have you gained access to any new LLD products in 2019? If so, which product(s)? *This question is required.

Please enter an 'other' value for this selection.

16. What are your biggest challenges to obtaining access to LDDs? *This question is required.

17. Do you provide data for manufacturers? *This question is required.

18. If you answered yes to question 17, which data aggregator do you use? *This question is required.

19. What is the average time from the receipt of a referral until the product is shipped to the patient, in a situation where a prior authorization is required? *This question is required.

20. What prior authorization software does your pharmacy use? *This question is required.

21. How many employees handle your prior authorizations? *This question is required.

22. Do you offer patient assistance programs to help your patients? *This question is required.

23. How have copay accumulator rules impacted your business and your patients? *This question is required.

24. Do you have a dedicated team that currently handles the appeals process for the provider?

25. If so, does your team complete a Letter of Medical Necessity with the provider's office?

26. If not, are you considering adding appeals capabilities?

27. What software(s) does your specialty pharmacy use, including dispensing, operations, clinical care, billing, prior authorization and financial assistance (check all that apply)?* *This question is required.

28. With respect to challenges you faced in adding lives in 2019, please rank the following (where 1 posed the greatest challenge and 7 the least) *This question is required. Note: for the following table each column is restricted to a single answer across all rows.

	1	2	3	4	5	6	7
Not dual accredited	Rank Not dual accredited as 1 out of 7	Rank Not dual accredited as 2 out of 7	Rank Not dual accredited as 3 out of 7	Rank Not dual accredited as 4 out of 7	Rank Not dual accredited as 5 out of 7	Rank Not dual accredited as 6 out of 7	Rank Not dual accredited as 7 out of 7
Not sure which contracts to go after	Rank Not sure which contracts to go after as 1 out of 7	Rank Not sure which contracts to go after as 2 out of 7	Rank Not sure which contracts to go after as 3 out of 7	Rank Not sure which contracts to go after as 4 out of 7	Rank Not sure which contracts to go after as 5 out of 7	Rank Not sure which contracts to go after as 6 out of 7	Rank Not sure which contracts to go after as 7 out of 7
Payors will not respond	Rank Payors will not respond as 1 out of 7	Rank Payors will not respond as 2 out of 7	Rank Payors will not respond as 3 out of 7	Rank Payors will not respond as 4 out of 7	Rank Payors will not respond as 5 out of 7	Rank Payors will not respond as 6 out of 7	Rank Payors will not respond as 7 out of 7
We don’t have someone dedicated exclusively to this role in our company	Rank We don’t have someone dedicated exclusively to this role in our company as 1 out of 7	Rank We don’t have someone dedicated exclusively to this role in our company as 2 out of 7	Rank We don’t have someone dedicated exclusively to this role in our company as 3 out of 7	Rank We don’t have someone dedicated exclusively to this role in our company as 4 out of 7	Rank We don’t have someone dedicated exclusively to this role in our company as 5 out of 7	Rank We don’t have someone dedicated exclusively to this role in our company as 6 out of 7	Rank We don’t have someone dedicated exclusively to this role in our company as 7 out of 7
We are too small	Rank We are too small as 1 out of 7	Rank We are too small as 2 out of 7	Rank We are too small as 3 out of 7	Rank We are too small as 4 out of 7	Rank We are too small as 5 out of 7	Rank We are too small as 6 out of 7	Rank We are too small as 7 out of 7
The process is too difficult	Rank The process is too difficult as 1 out of 7	Rank The process is too difficult as 2 out of 7	Rank The process is too difficult as 3 out of 7	Rank The process is too difficult as 4 out of 7	Rank The process is too difficult as 5 out of 7	Rank The process is too difficult as 6 out of 7	Rank The process is too difficult as 7 out of 7
Other - Write In	Rank Other - Write In as 1 out of 7	Rank Other - Write In as 2 out of 7	Rank Other - Write In as 3 out of 7	Rank Other - Write In as 4 out of 7	Rank Other - Write In as 5 out of 7	Rank Other - Write In as 6 out of 7	Rank Other - Write In as 7 out of 7

29. What are the top two challenges you have encountered with regard to contracting with payors (both PBM and Medical)? *This question is required.

30. How many new payor networks did you gain access to or contract with in 2019? *This question is required.

31. What accreditation(s) do you currently hold? *This question is required.

URAC
ACHC
Joint Commission
CPPA
The Compliance Team
Other - Write In Please enter an 'other' value for this selection.

32. If you do not have dual accreditation, would you say it has negatively impacted your company in any way? *This question is required.

33. Have you changed the size of your sales team in 2019? *This question is required.

34. If the size of your sales team changed, why did the shift occur?

35. How successful would you say your sales team has been at winning referrals? *This question is required.

36. What are the biggest challenges to your sales team's ability to win referrals? *This question is required.

37. What attributes set your pharmacy apart in your marketplace (in other words, why should a customer choose your pharmacy)? *This question is required.

38. In your opinion, what are the top three reasons an office chooses a particular specialty pharmacy? *This question is required.

39. Approximately, what percent of the referrals are you able to convert to prescriptions that you can service? *This question is required.

100

PBM Information and DIR Fees

40. Please indicate if you have experienced any of the following practices in your interactions with PBMs that also own a specialty pharmacy:

Patient plan design restrictions - patient is mandated to use PBM-owned specialty pharmacy
Limitations on number of fills - PBM may permit only 1st, 2nd or 3rd fill before patient is transitioned to PBM-owned specialty pharmacy
Unrealistic network access requirements -Terms and Conditions of network agreement not reasonably able to be met
Overly aggressive PBM audit practices
Increasing reductions in payor reimbursement levels
Other - please describe Please enter an 'other' value for this selection.

41. Have DIR fees affected your service delivery? If so, how? * *This question is required.

42. As a result of DIR fees, have you had to decline participation in any Medicare Part D networks?* *This question is required.

Please enter an 'other' value for this selection.

43. Have you had to reduce staff as a result of DIR fees?* *This question is required.

44. How do you see specialty pharmacy evolving into 2021? *This question is required.

Thank you!