Seven Specialty Pharmacy Trends for 2023

Terebellum, a global healthcare and specialty pharmacy solutions company, has released its list of industry trends to watch out for in 2023. These include numerous positive developments that impact all stakeholders in the specialty pharmacy/rare disease ecosystem and care continuum spanning patients, payers, life sciences manufacturers and providers.

Craig Caceci, Managing Director of Terebellum, said: “In 2023, developments in the market will emphasise the need for targeted programmes and end-to-end solutions that improve treatment access, affordability and outcomes.”

Trends predicted for 2023 by the healthcare and business consulting services provider include:

1. Greater focus on specialty and rare disease therapies

Private-sector investment and interest will drive research and influence policymaker support for specialty drug development, including cell and gene therapy (CGT). The global specialty pharmaceuticals market is expected to grow at a significant CAGR of 10.04% by 2027, while the CGT market will exceed USD 93.78 billion by 2030, growing at a CAGR of 22.41%. Many new ultra-expensive therapies are becoming available, putting extraordinary pressures on life sciences manufacturers and payers to improve patient access to treatment and ensure affordability.

2. Improved commercial planning for new pharmaceutical rollouts

Meticulous planning and disciplined execution will help pharmaceutical manufacturers to improve product launches and meet their business goals – from pre-commercialisation through to launch, including market access insights and unique financial programs to enhance medication access and optimise outcomes.

3. Greater reliance on global expertise

The ongoing transition to serve rare disease patients worldwide with access to specialty drugs and CGT will intensify the need for international experience and expertise to bring these products to market globally.

4. A shift toward value-based and outcome-based contracts

Value and outcome-based contracts promote greater patient access to new biopharmaceutical treatments by linking reimbursement, coverage or payment to a treatment’s real-world performance and patient outcomes.

5. Innovative financial solutions for cell and gene therapy

Continued increases in CGT costs will put pressures on payers, both public and private, throughout the health ecosystem. This will drive innovative approaches for absorbing these costs, which can exceed multi-million-pound price tags for payers and individual patients. Unique financial solutions, such as loan-based programs, significantly offset the cost of expensive and potentially curative CGTs.

6. Ongoing improvements in patient engagement

Patient-centric care is driving an expanded role for patient care coordinators, transcending all activities related to improving access to treatments and streamlining communications between prescriber, patient and specialty pharmacy that impact therapy management. These include interventions and side effects management, financial concerns and other issues. Expect expanded market presence of specialty pharmacy solutions organisations and their technology, such as mobile apps and call centres, to better connect with patients in managing their conditions. These capabilities will improve patient engagement, drive more efficient administration, decrease time to fill and optimise outcomes.

7. Carved-out prescription medical, pharmacy and contracting benefits

Self-funded employers, plan sponsors and other payers are increasingly contracting directly with a specialty pharmacy provider in designing their benefit packages. This enables payers to gain better control over costs, have greater transparency into their benefit claims and strengthen their negotiating power.

Commenting on how to respond to the predicted trends, Craig adds: “Being dedicated specialty pharmacy, Terebellum is uniquely positioned to help life sciences manufacturers navigate the complexities of the sector and enable the flexibility to adapt quickly to market changes.”

About Terebellum

Terebellum is an Ireland and UK based subsidiary of AscellaHealth representing our global footprint throughout Europe. Our premier group purchasing services, market access expertise, supply chain logistics, and unique pharmaceutical financial solutions, targeted to life sciences partners and other industry stakeholders ensure optimal cost savings and enhanced clinical outcomes. Terebellum’s leadership team has the extensive expertise needed to provide a consultative approach for branded specialty products to be brought to market successfully. Visit

About the AscellaHealth Family of Companies

The AscellaHealth Family of Companies, comprised of AscellaHealth and subsidiaries Optime Care and Terebellum, is a global healthcare and specialty pharmacy solutions organisation serving specialty and rare disease patients, healthcare organisations, life sciences manufacturers and providers with solutions addressing the unmet needs in this dynamic marketplace. A unique patient-first mission and dedication to improved medication access and outcomes are woven throughout integrated end-to-end solutions that span the entire pharmaceutical lifecycle and beyond. Visit


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