BioMatrix helps to manage your specialty spend with support across the patient continuum of care.

We ensure the highest level of treatment efficacy by providing access to a wide array of specialty and limited distribution medications, coupled with proprietary clinical management programs.

Our focus is to be an advocate in the fight to reduce high-cost specialty drug expenditures and analyze valuable data assisting healthcare research and patient outcomes.

Contact us to learn more about controlling your specialty spend.

Given the high-cost nature of specialty medications, there is always concern for ensuring cost optimization. Through the BioMatrix Care Management Programs within each of our therapeutically focused Centers of Excellence, we have utilization safeguards in place to ensure that dispensed medication is dosed correctly, and patients are adhering to their prescribed regimen.

These safeguards include:

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Dose-level Monitoring

Deploys appropriate management strategies to control utilization by limiting the maximum amount dispensed to a patient minimizing waste assuring the patient receives the correct dose of medication based on therapeutic outcome

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Frequency-level Monitoring

Ensures the measurement of specific drugs at timed intervals are maintained, monitored, and therapeutic doses are controlled with no adverse events

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Waste Minimization Programs

Optimization of care through clinical programs improving medication adherence with the goal of driving out potential waste related to specialty drug use and ensuring appropriateness of medications and dosage

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Medication Adherence Support

Encouragement of therapy adherence through engaging, educating, and communicating with patients to follow medical protocols as prescribed

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Site of Care Optimization

Management of location where certain specialty products can be administered, such as in a patient’s home instead of more expensive sites like outpatient facilities, providing a more clinical and economic continuum of care while helping patients navigate the complexity of sometimes-siloed benefit structures

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Split-fill
Programs

Demonstrates the efficacy of drug waste minimization in reducing drug-related costs through our "split-fill" program, a utilization management program reducing medication waste and cost


We offer these customizable, cost-efficient programs to the variety of customers we are partner with including employers, unions, TPAs, IPAs, health plans, PBMs, chain drug stores, self-insured markets, medical management networks, brokers, stop-loss insurers, and more.

Our patient-centric Care Management and Therapy Optimization Programs are delivered through coordination, collaboration, consultation, and customization to specifically manage disease state and related drug therapy – all using our proprietary digital health technology.

Components of our programs include:

  • Patient assessment and risk stratification

  • Integration of diagnostic and medical data

  • Outcomes reporting

  • Critical pathway management

  • Dedicated clinical support teams

  • Psychosocial assessment and counseling

  • Utilization and dose management

  • Timely medication delivery

  • Comprehensive patient education

Each of these components are delivered through our Centers of Excellence composed of specialized healthcare staff, customer service teams, patient care coordinators, and nurse and clinical pharmacists.