“…12 Health plans may require use of specialty pharmacy distribution channels for costly medications associated with complex management issues, including medication adherence, because of a belief that the "high-touch" services offered by specialty pharmacies (e.g., patient education, identification of sources of financial assistance) provide a therapeutic benefit to the patient. [13][14][15][16][17] Of the 74% of employers that offered a specialty pharmacy benefit in May 2011, 48% required specialty drugs to be channeled through a designated specialty pharmacy (either community-based or mail order). 6 Similarly, 14 ADAPs used central pharmacy distribution, and 18 ADAPs had designated ADAP pharmacies for pick-up in June 2010.…”