Rightway drives members to the most clinically appropriate and affordable medications. Members receive concierge support from a team of specialty pharmacists who provide guidance every step of the way.
Rightway drives members to the most clinically appropriate and affordable medications. Members receive concierge support from a team of specialty pharmacists who provide guidance every step of the way.
These medications account for 50% of total pharmacy spend despite only making up 1–2% of prescriptions.
As the costs of specialty drugs for common conditions like asthma and auto-immune diseases continue to rise, employers are facing increasing expenses. This highlights the need for a PBM with a transparent, high-touch approach to managing the utilization and costs of specialty drugs.
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 increasing 3x faster than traditional prescriptions.
Traditional PBMs own their own specialty pharmacies and profit from encouraging payers and plan sponsors to use their services.
Traditional PBMs raise costs by paying their own specialty pharmacies inflated reimbursement rates, allowing them to profit from the higher prices.
For example, three major PBMs made $1.6 billion in three years from just two cancer drugs.
Many drugs are unnecessarily labeled as "specialty" to justify higher costs.
Only 32% of specialty drugs are common across the top PBMs, while 45% are unique to a single PBM, limiting employer control over spend.
Specialty drug costs are increasing 3x faster than traditional prescriptions.
Traditional PBMs own their own specialty pharmacies and profit from encouraging payers and plan sponsors to use their services.
Rightway specialty pharmacists guide members toward high-value, affordable medications. Our team proactively recommends alternatives and biosimilar substitutes when appropriate to significantly lower Rx spend.
Affordable medications.
Our specialty medications are priced at the industry's lowest rates, making them more affordable to members.
Competitive pharmacy network.
We partner with a network of independent specialty pharmacies that provide high-quality drugs at the lowest costs - with exceptional service.
Transparent pricing model.
Rightway does not own or affiliate with any pharmacies or generate revenue from dispensing medications - this means we have no incentive to drive up utilization.
Member savings.
Our team ensures members gain access to medications with little to no copayment through publicly available copay assistance programs when applicable.
Rightway is the only PBM that leverages pharmacy navigation provided by a team of dedicated specialty pharmacists. We develop personalized treatment pathways and offer ongoing education and counseling to support members throughout their entire Rx journey.
Our team handles complex and time-consuming tasks to help members:
Transition to affordable, high-quality alternatives.
Coordinate with providers and pharmacies on their behalf.
Enroll in cost-savings programs.
Manage complex medications and disease states.
Sign up for convenient mail-order delivery including Mark Cuban Cost Plus Drugs, Walgreens, and Amazon.
Monitor the prior authorization process.
Acceptance of redirection to lower-cost channels.
Diabetes adherence rate.
Member Net Promoter Score.
Patient enrollment in copay assistance programs when applicable.
Our unique approach provides unparalleled support, assisting members in medication access and adherence:
Chat with dedicated specialty pharmacists.
Search for drugs.
View their medicine cabinet.
Review medication details and prices.
Add their preferred pharmacy.
Through our robust clinical rules engine, our team proactively engages with high-risk and specialty members to promote adherence, outcomes, and overall member experience. Rightway facilitates a seamless specialty drug transition with proactive outreach and coordination to ensure members experience no disruption in their care.
