
Biotech firms develop biologics, vaccines, biosimilars, and gene therapies to treat chronic diseases, contrasting with traditional small-molecule pharma, as high costs meet a market growing toward 3.8 trillion by 2030.
Specialty pharmacies distribute and support high-cost medications for complex or rare conditions, offering patient education, care coordination, and data-driven insights to improve outcomes.
Explore how U.S. health care insurance pools funds, covers services, and varies by plan type—from employer-sponsored to Medicare and Medicaid—through networks, premiums, and payment methods like fee-for-service and value-based reimbursement.
Explore how formularies shape coverage and cost sharing in employer, Medicare, and Medicaid plans, detailing open vs closed formularies, tier structures, and prior authorization.
A patient hub is an online portal or app giving patients access to health information, records, appointments, prescriptions, and direct communication with providers, boosting rare-disease awareness and patient support.
Discover the top ten biotech companies and their focus areas in oncology, diabetes care, immunology, and cancer, while understanding mergers, acquisitions, and brand naming nuances.
Explore how specialty distribution data moves through EDI and SAP ERP to manage orders, invoicing, shipping, and inventory, including product transfer with EDI 867 and inventory activity with EDI 852.
Learn to pull the latest sales numbers and read EDI transactions in specialty pharma, from interchange control to transaction sets, and translate them into inventory and sales reports.
Learn how specialty pharmacies verify prescriptions, assess insurance, dispense specialty medications with specialized storage, support adherence, and share de-identified data with manufacturers.
Generate 100 rows of synthetic specialty pharmacy data using a Jupyter notebook from the biotech underscore data repo on GitHub, with hardcoded values and random selection.
Discover how syndicated data, including prescription data, medical claims, patient level data, digital data, and market research, informs biotech and specialty pharma sales and marketing strategies under HIPAA and GDPR.
Intended for IT professionals supporting sales and marketing in biotech or specialty care companies or business units. If you are in sales, marketing, sales ops, marketing ops, or commercial excellence, you will learn a lot too. I will provide many examples of how specialty contrasts with primary care.
In this course, learn about:
Payers, Plans, and Formularies
Patient Hubs
Specialty Distribution and data
Specialty Pharmacy and data
Learn about industry EDI formats used to communicate sales, inventory, returns/chargebacks. Why is it important to track inventory? Is there a standard format?
Learn about the selection process for specialty pharmacies. What type of data Specialty Pharmacies can send back to the manufacturer: de-identified patient demographics data, prescription, referrals, dosage, etc. Which specialty pharmacy chains are the biggest? Do specialty pharmacies sub-specialize in particular therapeutic areas?
Learn the different types of formulary tiers, and co-pay differences. What are open and closed formularies?
Learn about the role of the patient hubs in raising awareness for disease states, the communities they build, and how they may help patient find ways to pay for their treatment. What services do patient hubs provide? Why sign up for patient hubs?
What are patient assistance programs? What is co-pay?
I hope that you will enjoy this course!