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From Innovation and Integration to Impact: Advancing Health System Specialty Pharmacy at UC Davis Health | NASP Specialty Pharmacy Podcast

Feb 10, 2026
Ruth Chen, PharmD, MHA, manager of UC Davis’s centralized rare disease pharmacy hub, and David G. Mitchell, PharmD, MBA, Assistant Chief Pharmacy Officer who built UC Davis’s specialty pharmacy program. They discuss clinic-embedded pharmacists, scaling an integrated specialty pharmacy across geography and payers, building a centralized rare disease hub, and tech and advocacy strategies shaping specialty care.
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INSIGHT

Integration Drives Better Outcomes

  • UC Davis differentiates through integrated, clinic-embedded pharmacists and highly trained staff.
  • That integration speeds therapy starts, improves monitoring, and enhances adherence and outcomes.
ADVICE

Embed Pharmacists In Care Teams

  • Embed pharmacists in care teams to influence therapy selection and provide shared visits.
  • Use that face-to-face time to build trust, intervene early, and streamline the patient journey.
INSIGHT

Payer Locks Undermine Access

  • Payer 'pair lockouts' and vertical integration limit health-system dispensing.
  • UC Davis tackles this by doing benefit investigations, clinical support even if not dispensing, and legislative advocacy like SB 41.
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