A biologic controls disease only while the patient stays on it.
Biologics and DMARDs control rheumatic disease with steady, uninterrupted therapy. A stalled prior authorization, a step therapy denial, or a high copay can pull a patient off treatment, and every gap in therapy raises the risk of a flare. Fairview Pharmacy holds an EQuIPP star rating of 5.00 from Elevate Provider Network, Quarter 4, 2025, and we fight to keep your patients on therapy.
What actually pulls patients off therapy
The biologic rarely fails. The prior authorization behind it fails constantly.
Biologic prior authorizations and step therapy denials routinely delay or block refills, and disease activity climbs the entire time the patient waits. Specialty copays push patients to stretch doses or stop, and they rarely tell you; they simply return with swollen joints. Self injected biologics are easy to skip over fear or fatigue, while the chart still says the patient is on therapy. None of this is the drug failing. It is the system around the drug failing.
A chain or distant mail order pharmacy gives you no visibility into any of it.
Rheumatology specific risk
Prior authorization, copay shock, and missed injections.
Prior authorization and step therapy
Biologic prior authorizations and step therapy denials routinely delay or block refills. Disease activity is associated with climbing the entire time the patient waits.
Copay shock
Specialty copays push patients to stretch doses or stop. They rarely say so; they return with swollen joints and a worse exam.
Silent non-adherence
Self injected biologics are easy to skip over fear, fatigue, or a missed reminder. The chart still says the patient is on therapy.
For rheumatic disease, a gap in therapy is associated with a flare, and a flare can mean joint damage that does not reverse. A pharmacy that fights the prior authorization and supports the cost is protecting the therapy you prescribed.
The visibility you lose to mail order
When a biologic is routed to a distant mail order pharmacy, you lose all visibility.
Nobody fights the prior authorization. Nobody catches a missed injection. Nobody calls when copay shock stops the patient cold. You find out at the next visit, when the patient walks in already in a flare.
That is not a pharmacy partner. That is a liability sitting between you and your patient's joints.
EQuIPP verified, all four measures published
Fairview fights the prior authorization and keeps biologic therapy on schedule.
EQuIPP star measures, Elevate Provider Network. Quarter 4, 2025, closed measurement year.
- Blood pressure (RASA) PDC98.2%, 215 of 219 patients5 stars
- Cholesterol PDC97.2%, 246 of 253 patients5 stars
- Statin use in diabetes96.3%, 52 of 54 patients5 stars
- Diabetes PDC95.6%, 108 of 113 patients5 stars
EQuIPP star rating 5.00. Five stars on all four measures, every year since 2022.
Fairview's EQuIPP star measure performance, issued by Elevate Provider Network for the closed 2025 measurement year: Blood pressure (RASA) PDC 98.2%, 215 of 219 patients. Cholesterol PDC 97.2%, 246 of 253. Statin use in diabetes 96.3%, 52 of 54. Diabetes PDC 95.6%, 108 of 113. EQuIPP star rating 5.00. Five stars on all four measures, every year since 2022. For your rheumatology patients, that discipline means biologic prior authorizations fought and appealed, every refill on schedule, and a pharmacist who calls the moment cost or fear threatens therapy.
EQuIPP performance metrics as of Quarter 4, 2025, Medicare Part D population, benchmarked against national pharmacy averages. These measures describe prescribing and dispensing patterns. Neither is a measure of health outcomes.
You prescribe.
E prescribe to Fairview. NCPDP 2515104, NPI 1144383613.
We fill and fight the prior authorization.
We appeal every denial.
We verify adherence.
We call patients before refills lapse.
We report to you.
Adherence and refill updates on the patients you referred.
You reinforce.
You address disease control at the next visit.
100% PA and appeal handling
We fight and appeal every biologic prior authorization for you.
Local same day dispensing
Biologics and DMARDs filled here, not mailed from out of state.
Injection coaching
We teach safe self injection so fear does not stop a dose.
Copay and cost support
We find copay cards and foundation grants before cost ends therapy.
Proactive refill calls
We reach patients before a refill lapses.
Adherence reports to you
Who is filling and who is not, delivered to your office at day ninety.
Start with 5, zero risk
Send us 5 of your hardest biologic patients. 90 days. Zero risk.
We fight the prior authorizations, keep every refill on schedule, and report adherence back to your office. No contract, no cost, and nothing owed in either direction. If the reports are not useful, tell us and we will change the format.
Request your intro call
A 10 minute call with Dr. Mike, no commitment and no paperwork to start. Just tell us how to reach you and a little about your practice. The 5 patient pilot is what we walk through on the call.
Typical response: Within 1 business day
Forms for referring practices