CompletedCase study · 14 min
Limited Distribution Tradeoffs
A tighter network is easier to train and harder to defend to a payer that wanted its own pharmacy.
Limited distribution concentrates expertise and data. It also concentrates political risk: a payer with an affiliated specialty pharmacy will treat exclusion as a slight and a cost.
The case is a launch that chose three pharmacies and spent the next two quarters explaining why the fourth was not on the list.
Key takeaways
- Tighter is not cheaper politically
- Payer-affiliated pharmacies push back
- Document the clinical reason