Orlando, Fla.—Leaders at ARJ Infusion Services in Lenexa, Kan., didn’t set out to be involved in government affairs. But three years ago, a patient called to say he received a letter from their Medicaid managed care organization (MCO) stating that within 30 days, all of his specialty prescriptions and infused drugs would have to go through that MCO’s in-house specialty pharmacy.
With ARJ servicing approximately 80% of the state’s hemophilia Medicaid business,