Did you know that employers can save an average of $174 per member per month (PMPM) on inpatient medical costs with comprehensive specialty management?

This infographic showcases research demonstrating how companies that fully embrace these programs not only control costs but also foster better employee health behaviors within just 12 to 24 months. With a managed approach, employers can see meaningful savings, gain access to whole-health support, and minimize waste — all while helping to alleviate out-of-pocket expenses for employees.

View or download the infographic below to see the value of comprehensive specialty management for you and your employees.

Specialty pharmacy management isn’t incremental — it’s transformative

Unlock the full savings potential

Within a connected medical and pharmacy model, specialty pharmacy management can unlock meaningful savings. Research comparing integrated commercial members who were actively managed through specialty pharmacy programs with those who were not highlights the impact on employer costs.¹

The key question:

How much more can employers save when specialty pharmacy programs are fully managed?

The research found that full management of specialty pharmacy programs can help you achieve:^1,2

$174 PMPM lower inpatient medical costs.

Savings in 12 to 24 months that grow deeper over time.

Greater cost control over 88% of spending driven by specialty drugs.

More effective benefits management than plans without integrated specialty programs.

Myth vs. reality

Misconceptions about specialty pharmacy management can result in lost dollars. Here’s what the data shows.

Myth

“These programs only reduce drug cost.”

“Partial management is good enough.”

“Members won't change their behavior.”

“It takes years to see a decrease in costs.”

Reality¹

Specialty pharmacy management lowers total cost of care.

Full management drives steeper, proven savings.

Managed members demonstrate measurable behavior changes.

Demonstrable results can be achieved in 12 to 24 months.

Deeper member management leads to greater savings¹

Specialty pharmacy programs and savings opportunity:

Not managed: Leads to no savings

Partially managed: Shows some initial savings

Fully managed: Drives the most significant savings

CarelonRx specialty pharmacy programs are designed to:

Support whole health through pharmacist-led outreach.

Close care gaps and remove access barriers.

Minimize waste and lower out-of-pocket expenses.

Provide cost relief with $0 member out-of-pocket cost.

How can you unlock the full value of specialty pharmacy program management?

Speak with your Anthem representative to explore how Anthem and our pharmacy benefits management partner, CarelonRx, can strengthen your benefits strategy and amplify savings.

1 CarelonRx: Specialty Rx Managed vs. Unmanaged Populations study (2025): carelonrx.com.

2 “Full management” means participation in all specialty pharmacy programs offered by CarelonRx.

Unlock The Full Savings Potential Of Specialty Pharmacy Benefits Management