Specialty Medication Access
& Biologic Therapy Management
A compliance-first approach to managing high-cost, high-complexity therapies through URAC-accredited, 340B-covered specialty pharmacy partnerships — combining dispensing with patient management, quality oversight, and regulatory controls.
Program Purpose
Built to reduce friction, not add to it
Help physicians and patients gain safe, timely, and affordable access to high-cost medications through licensed specialty pharmacy partnerships — combining dispensing with patient management, quality oversight, and regulatory controls.
No fee, subscription, or financial commitment is required to participate.
The pharmacy team owns PA and insurance verification end-to-end — your staff never has to file, track, or follow up.
Patients work directly with pharmacy staff for delivery, coverage questions, and ongoing monitoring.
The CDTM agreement is signed digitally in minutes. No in-person meeting or paperwork required.
Scope of Therapies
Coverage
13+ specialties supported
The program supports therapies across more than 13 specialty areas with formulary access confirmed by the dispensing pharmacy.
Compliance & Legal
Built on a compliance-first foundation
Every aspect of this program is designed to meet or exceed federal compliance standards.
Fair-market-value compensation — commercially reasonable and fully documented
No payment for referrals — no compensation tied to patient or Rx referrals
No percentage-based compensation — no revenue-sharing arrangements with physicians
HIPAA & data security — formalized privacy agreements (BAAs) and documentation controls
Anti-Kickback Statute — mandatory analysis for all federal program business
340B compliance — strict covered-entity and patient-eligibility rule adherence
Enrollment
How enrollment works
Simple, electronic enrollment — no in-person meetings required.
Physician signs collaboration agreement
Physician prescribes medication
Portal verifies insurance & obtains prior authorization
Patient has pharmacy telehealth visit
Medication shipped direct to patient with full tracking
For Pharmacy Partners
Turn pharmacy access into expanded clinical services
Community pharmacies are among the most accessible points of care in the country. Ellward Health helps independent, community, and specialty pharmacies do more with that access — identifying clinical service and payer program opportunities, confirming what each one actually requires, and building the operational workflow to deliver them.
Identify
Surface the clinical services and payer programs your pharmacy may be positioned to offer.
Confirm
Review state, payer, enrollment, credentialing, and billing requirements before committing resources.
Build
Stand up the documentation, workflows, and clinical capabilities participation requires.
Launch & grow
Begin delivering services, then expand into additional programs, services, and states.
Opportunities vary by state, payer, program, provider qualifications, and enrollment status — and requirements change. Ellward distinguishes confirmed, actionable opportunities from those that still require verification, so your pharmacy never commits resources on assumptions.
Providers evaluating clinical-service opportunities in their own practice data can learn more about our Provider Opportunity Intelligence assessment.
Ready to enroll your practice?
Contact our team — enrollment is electronic and there is no cost to participate.