Client Background

After FDA approval, a women’s health brand launched an HSDD therapy with a bridge program, specialty pharmacy network, and telemedicine integration. Despite strong formulary placement, growth stalled due to specialty pharmacy partner.

Goals

• Ensure seamless patient access through modern, digital-first workflows

• Convert formulary placement into covered dispenses to drive adoption

• Improve adherence and provider confidence for sustainable growth

The Challenge

They found their current partner was ill-equipped to address commonly experienced channel challenges resulting in:

1. Low Enrollment (2% of Patients) Automated calls and a lengthy process deterred patients; one year post-launch, enrollment remained in the low single digits, limiting PA success.

2. Poor Conversion of Market Access (25% of Eligible Rx) Despite 85% formulary placement, few covered dispenses due to poor UX, PA bottlenecks, and limited pharmacy network (60%).

3. Low Refill Adherence (1.5 Refills per Patient) Reliance on manufacturer financial support and high out-of-pocket costs after bridge program led to significant patient drop off.

These factors threatened the brand’s financial future and prompted the commercial team to re-evaluate its strategy and channel partner.

The Solution

Facing stalled growth, the brand needed a partner to convert formulary access into covered dispenses, improve patient and financial outcomes, and gain visibility into payer behavior. After an extensive search, they chose PHIL as a partner due to our proven results, seamless integration with telemedicine, and the opportunity to build a configurable platform tailored to evolving business needs.

Partnership Goals:

1. Seamless Patient & HCP Experience Enable frictionless prescribing, PA processes, and easy patient access to therapy.

2. Convert Market Access to Covered Dispenses Streamline coverage approvals with tailored dispense programs based on payer behavior while leveraging intelligent pharmacy routing based on insurance plan.

3. Equip the Field Team Provide tools and data to help HCPs overcome PA bottlenecks and close access gaps.

The Approach

PHIL partnered with the brand’s commercial team to launch a customized solution in six weeks, integrating with their telemedicine partner and creating an access workflow that dispensed bridge prescriptions while pursuing PAs.

We built a custom access program to solve the brand’s unique challenges that included:

1. Digital Enrollment Text-based smartphone enrollment—no app required.

2. 1-Click PA Submissions Auto-populated PA forms from eRx layered with CoverMyMeds for fast submission.

3. Optimized Pharmacy Routing Prescriptions routed to contracted pharmacies for coverage.

4. Differentiated Dispense Programs Utilized business rules for tailored access based on payer PA behavior.

5. Adherence Support Ongoing digital and live support for therapy adherence.

6. Actionable Insights 120+ real-time data points and field enablement dashboards.

This solution gave the brand access to

The Results

The brand experienced transformational results after 18 months.