by Jane Anderson
Uber, seeking to expand its prescription delivery business
nationwide, has inked a deal with pharmacy home delivery start-up ScriptDrop
that makes Uber the default delivery app for a network of grocery store and
independent pharmacies that spans 37 states.
The partnership, which is just one of many corporate moves in
the pharmacy delivery space, positions Uber to take advantage of the vastly
increased consumer demand for home delivery services sparked by the pandemic.
It also puts PBMs in the position of playing some catch-up on
developing and promoting home delivery services beyond traditional mail order,
says Ashraf Shehata, partner and advisory industry leader for health plans at
consulting firm KPMG.
The immediate question, he says, is "as we start to see
these home delivery options, are we really starting to see the digital world
competing against the bricks-and-mortar world, plus delivery? That's really the
dynamic tension here. And I think that there are a lot more chapters to be
written in that story."
But Uber is far from the only company investing in this space,
and opportunities for partnerships and acquisitions are plentiful. Meanwhile,
PBMs do not appear to be reacting much to the changes in prescription delivery
and purchasing patterns, says David Dross, national practice leader for managed
care pharmacy consulting at Mercer. "It feels like, at this juncture, PBMs
are honestly not seeing enough threat to do something different," he says.
Competition from Amazon and its subsidiary PillPack hasn't turned
out to be as big of a threat as some in the industry had feared, at least so
far, Dross notes. Shehata also doesn't see Uber and Amazon as immediate threats
to PBMs and mail-order pharmacy.
However, Peter Manoogian, principal at the consulting firm ZS
Associates, notes that that there are multiple deals that touch on prescription
delivery, and PBMs definitely are watching. "I think my clients — PBMs and
mail order pharmacies — they are thinking about the threat that an Amazon could
bring in the Rx delivery space, because the Amazon delivery model is so
intertwined into so many people's lives," he says.
Many prescription benefit plans already offer same-day or
next-day delivery for pharmaceuticals, Manoogian says. However, they haven't
always promoted that capability well enough that members know to use it, he
says: "PBMs do need to ensure they get out the right communication to
members."
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