featured image for Blog Post Golden Triangle Specialty Network Launches GTRx Plus, a Breakthrough J-Code Carve-Out Solution

Golden Triangle Specialty Network Launches GTRx Plus, a Breakthrough J-Code Carve-Out Solution

Nashville, TN — Oct. 29, 2025 – Golden Triangle Specialty Network (GTSN), a leader in specialty pharmacy cost management, today announced the launch of GTRx Plus, a comprehensive carve-out program designed to help health plans control the soaring costs of specialty drugs billed under J-codes.

Specialty medications represent one of the fastest-growing segments of healthcare costs, often billed through medical benefit J-codes at inflated PPO rates. Traditional approaches only manage 40–60% of these claims effectively, leaving significant dollars on the table. GTRx Plus closes this gap by enforcing preferred sourcing, repricing J-code claims, and delivering measurable results.

Key Features of GTRx Plus:

  • Enforceable Savings: J-code claims are repriced to GTRx preferred vendor rates instead of inflated PPO rates.
  • Tailored Carve-Outs: Plans can target broad or narrow drug lists, including high-cost infusion and oncology therapies.
  • Proven Results: 100% price implementation success rate with projected savings of 40%+ on specialty pharmacy spend.
  • White-Glove Support: Dedicated contracting teams and personalized service guide clients through every step.

“With GTRx Plus, we’re giving payers an enforceable way to manage J-code spend while preserving access to critical therapies,” said Hy Byrd, Chief Operating Officer of Golden Triangle Specialty Network. “This solution reflects the broader vision we have at GTSN, which is to push the boundaries of specialty cost management and deliver programs that truly work and drive results for the plans and patients we serve.”

GTRx Plus represents a significant leap forward in medical spend management. By combining enforceable plan language, a defined list of specialty medications, pre-service interventions, and a structured appeal process, GTRx Plus ensures cost control without compromising patient care.

 

About Golden Triangle Specialty Network (GTSN)

Established in 2007 and headquartered in Franklin, TN, Golden Triangle Specialty Network (GTSN) is a privately held leader in secure medical cost management solutions. Focusing on dialysis services, GTSN also offers a Specialty Pharmacy Network (GTRx Specialty Pharmacy NetworkSM) and General Medical Cost Management solutions. GTSN has saved clients over $1 billion by ensuring that no patient is billed for balances or experiences pushback from providers, including for J-Code treatments. Committed to integrity and high-touch service, GTSN serves a diverse clientele, including major healthcare providers, TPAs, brokers, labor unions, and leading nationwide carriers. For more information, visit gtspecnet.com.