Sun Life launches Preferred Pharmacy Network for specialty drugs

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We’re pleased to announce the launch of our much-anticipated Sun Life Preferred Pharmacy Network (PPN)!

The Sun Life Preferred Pharmacy Network is a broad network of pharmacies that aims to provide your plan members with a reduced claim cost when they shop for specialty drugs – i.e., drugs that require prior authorization or special authorization – at one of the participating pharmacies using their Sun Life Pay-Direct Drug (PDD) card. Due to Quebec's specific market context, the network cannot be offered to Quebec participants at this time.  However, we continue to explore potential solutions for this important market.

You’ll find many more details, including a list of participating pharmacies in the network, in our announcement.

Additional benefits of the Sun Life Preferred Pharmacy Network

In addition to reduced claim costs for specialty drugs, plan members can take advantage of a range of value-added services that may be offered at participating pharmacies, including injection services, smoking cessation clinics, e-refills, and more. They will also have the opportunity to consent to co-pay assistance counselling provided by McKesson Canada. This includes assistance with navigating and applying for government and manufacturer financial assistance programs.

Is my plan eligible to get the Sun Life Preferred Pharmacy Network?

All PDD plans that have implemented Prior Authorization with at least our Enhanced Prior Authorization drug categories or our Evidence-based drug plan Special Authorization program are invited to participate in the Sun Life PPN.

When will the Sun Life Preferred Pharmacy Network be available?

All eligible plans will roll out October 15, 2014, unless Sun Life is asked by the plan sponsor or their advisor/consultant to opt-out of the offering.

Why should I offer the Sun Life PPN to my plan members?

We know you are looking to us to find ways to help manage drug costs. It’s likely that specialty drugs could account for 25%-50% of total drug spend within the next 10 years, or sooner.* A preferred pharmacy network is one way to assist you in managing escalating drug costs and to help keep your plan sustainable.

Next steps

Next month, we will contact eligible plan sponsors directly with advance notice that the Sun Life PPN will be implemented on their plans. Should they wish to opt-out of the Sun Life PPN at this time, we will provide instructions on how to do that.

At this time, we cannot offer the Preferred Pharmacy Network to the following plan sponsors, and they will not be contacted next month:

  • Those with 100% of their plan members residing in Quebec
  • Those with an existing preferred provider agreement
  • Those with deferred payment

We understand that you might have additional questions about this new service, and we are including a Frequently Asked Questions document to provide more information.

Questions?

Please contact your Client Service Administrator at 1-877-786-7227.

*Source: EvaluatePharma, World Preview 2014