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Integration in Action: A Focus on Urologic Oncology Care Through Medically Integrated Dispensing

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Integration in Action: A Focus on Urologic Oncology Care Through Medically Integrated Dispensing

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White Paper Overview
Oral oncolytics have raised the stakes for coordination in urologic oncology—benefits checks, prior auth, refills, side effect support, and patient questions can’t live in silos. This white paper highlights how Medically Integrated Dispensing (MID) keeps pharmacy support closer to the care team, helping reduce friction for patients and improving visibility across the medication journey.

Developed with the American Urological Association (AUA), NCODA, and Pfizer Oncology, the report combines national survey findings with real-world interviews from two urology practices operating MID models. The result is a practical look at how urology teams are approaching oral oncolytics today—what’s working, where breakdowns happen, and what it takes to strengthen the model in day-to-day practice.

Key Highlights

  • 416 respondents across urology care teams (urologists, APPs, pharmacists, administrators).
  • 47% reported affiliation with a practice/institution-owned pharmacy dispensing urologic oncology products.
  • Among those with an MID, 63% of oral oncology prescriptions are filled at their MID.
  • Many respondents reported limited visibility into what the dispensing pharmacy is doing, pointing to a coordination opportunity.
  • Common barriers included prior auth/benefit verification, payer constraints on in-house fill (41%), and PBM steering.

Inside this White Paper:
You’ll find national survey insights alongside interviews with two urology practices using MID models, plus practical themes for building or strengthening medically integrated dispensing in urologic oncology. The paper highlights how teams structure workflows, improve coordination and visibility across dispensing, and support patients proactively—aimed at reducing delays and strengthening continuity of care.