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The specialty pharmacy business had $20 billion in sales in 2005. By 2014 it had grown to "$78 billion in sales". [5] In Canada by 2013 "specialty drugs made up less than 1.3 percent of all Canadian prescriptions, but accounted for 24 percent of Canada's total spending on prescription drugs". [52]
Specialty pharmacy refers to distribution channels designed to handle specialty drugs — pharmaceutical therapies that are either high cost, [1] [2] [3] high complexity [3] and/or high touch. [2] High touch refers to higher degree of complexity in terms of distribution, administration, or patient management which drives up the cost of the drugs.
Diplomat Pharmacy, Inc. is the largest independent provider of specialty pharmacy services in the United States. [2] The company partners with manufacturers, payers, providers, hospitals, and more. [3] Headquartered in Flint, Michigan, Diplomat has facilities across the United States and dispenses drugs in all 50 states. [4]
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In January 2014, Avella Specialty Pharmacy named Rebecca Shanahan as its new CEO. [10] That same year, Avella became a registered Outsourcing Facility through the U.S. Food and Drug Administration. [20] In March 2015, Avella was approved to register a .pharmacy domain name which identifies safe and legal pharmacies online. [21]
Reproductive endocrinologists have specialty training (residency) in obstetrics and gynecology (ob-gyn) before they undergo sub-specialty training (fellowship) in REI. Reproductive surgery is a related specialty, where a physician in ob-gyn or urology further specializes to operate on anatomical disorders that affect fertility. [1]
Many pharmacy chains in the United States are owned and operated by regional supermarket brands, or national big-box store brands such as Walmart. These pharmacies are located within their larger chain stores. The three largest free-standing pharmacy chains in the United States are Walgreens, CVS, and Rite Aid.
Unipath Ltd was a pharmaceutical company, subsidiary to Unilever and then Alere, specialising mainly in medical diagnostic kits related to women's reproductive health.It subsequently diversified its product range to include more specialised test kits, primarily for the clinical market, in areas other than women's reproductive healthcare.