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Navigating the complexities of specialty medications can be daunting. At Rightway, we simplify this journey by offering personalized support and cost-effective solutions. Our dedicated pharmacy team ensures members access the most appropriate and affordable treatments, enhancing outcomes and reducing costs.
Navigating the complexities of specialty medications can be daunting. At Rightway, we simplify this journey by offering personalized support and cost-effective solutions. Our dedicated pharmacy team ensures members access the most appropriate and affordable treatments, enhancing outcomes and reducing costs.
Specialty drugs represent only 1–2% of prescriptions but drive nearly 50% of total pharmacy spend. As costs for treatments in areas like asthma and autoimmune diseases continue to climb, employers are seeing unsustainable growth in pharmacy benefit expenses. These rising costs make the need for a smarter, more transparent specialty pharmacy model like Rightway’s more urgent than ever.
Traditional PBMs require members to use their own specialty pharmacies, steering them towards medications that increase their profits instead of what’s in the best interest of the member.
Specialty drug costs are rising at triple the rate of traditional prescriptions. Many traditional PBMs obscure pricing and steer spending toward high-cost drugs. Without visibility into true costs, employers lose control over where their pharmacy dollars are going — often paying more for less value.
Traditional PBMs often reimburse their own specialty pharmacies at inflated rates. By requiring members to use exclusive networks they own or profit from, these PBMs generate significant revenue at the employer’s expense. For example, just three major PBMs made $1.6 billion in profit over three years from just two cancer drugs.
Many drugs are unnecessarily labeled “specialty” solely to justify higher pricing.
Only 32% of specialty drugs are consistent across top PBMs, while 45% are unique to a single PBM. This lack of standardization limits employer control, creates pricing variability, and increases pharmacy benefit costs.
Specialty drug costs are rising at triple the rate of traditional prescriptions. Many traditional PBMs obscure pricing and steer spending toward high-cost drugs. Without visibility into true costs, employers lose control over where their pharmacy dollars are going — often paying more for less value.
Rightway’s specialty pharmacists help members identify the most affordable and clinically effective medications, often recommending alternatives or biosimilars to reduce specialty pharmacy costs. Our approach combines hands-on support, transparent pricing, and high-performing pharmacy partners to cut spend without compromising care.
Affordable specialty medications at industry-low rates. Our specialty medications are priced among the lowest in the market — reducing financial strain on members while maintaining access to the treatments they need.
A high-quality, independent specialty pharmacy network. We partner with a trusted specialty pharmacy network of independent providers who deliver top-tier service and pricing — no vertically integrated incentives, no markup games.
Transparent pricing model, no hidden incentives. Rightway is not affiliated with any pharmacy and doesn’t profit from drug dispensing. As a specialty pharmacy PBM, our only incentive is lowering utilization and cost — not increasing fill rates.
Copay assistance to maximize employee savings. When available, our team helps members access publicly available copay assistance programs, often reducing or eliminating out-of-pocket costs for critical medications.
Rightway is the only specialty pharmacy PBM offering pharmacist-led navigation that supports members across their entire treatment journey. Through our dedicated team of specialty pharmacy providers, we deliver personalized care plans, treatment counseling, and real-time guidance to drive better outcomes and lower costs. This model empowers members through every step of their Rx specialty pharmacy experience — from medication access and adherence to ongoing support through our digital platform, phone, or chat.
Behind the scenes, our team handles the most complex and time-consuming pharmacy tasks to streamline the Rx specialty pharmacy experience:
Transition members to affordable, high-quality alternatives
Coordinate directly with providers and pharmacy partners
Enroll members in cost-savings and copay assistance programs
Manage complex conditions and specialty drug regimens
Facilitate mail-order delivery through partners like Mark Cuban Cost Plus Drugs, Walgreens, and Amazon
Monitor and manage the prior authorization process from start to finish
Acceptance of redirection to lower-cost channels.
Diabetes adherence rate.
Member Net Promoter Score.
Patient enrollment in copay assistance programs when applicable.
Rightway’s digital tools make it easier for members to manage their prescriptions and stay on track with treatment — a core advantage of our Rx specialty pharmacy model. Members can:
Chat with dedicated specialty pharmacists in real time
Search for medications and alternative options
View their full medicine cabinet
Review details and pricing for each drug
Add or update their preferred pharmacy
Through our advanced clinical rules engine, Rightway proactively identifies high-risk and specialty pharmacy members who need intervention. Our team then engages with them directly to promote medication adherence, improve outcomes, and enhance their overall Rx specialty pharmacy experience. This proactive outreach includes real-time coordination and transition support to ensure that even the most complex specialty drug therapies continue uninterrupted and stress-free.
