Specialty Prescription Drugs

Certain specialty prescription drugs require pre-authorization and must be filled through specialty pharmacies. These drugs consist of self-injectable, infusion, and advanced oral drugs that require special handling, are not needed immediately for acute conditions, and traditionally are not stocked by retail pharmacies.  Physicians will be notified of the number to contact the specialty pharmacy if pre-authorization is granted. When pre-authorized, specialty drugs will dispensed for a maximum of 30-day supply per fill. Contact information for the specialty pharmacy can also be obtained by calling the Provider Services Department at 1-800-828-3407. The drugs will be shipped to the physician’s office, the member’s home, or other designated location. Specialized counseling and education is available to patients from the specialty pharmacies regarding proper administration, storage, dosage, drug interactions, and side effects of these specialty drugs.

Specialty Drug Program

Excluded Mail Order Drug List