Specialty Drug Program

Specialty drug program

Specialty drugs are used to treat serious or ongoing medical conditions such as multiple sclerosis, hemophilia, hepatitis and rheumatoid arthritis. They're typically injectable and can be self-administered by a patient or family member. For questions about the program, please call the customer service number on the back of your member ID card.

Program saves time

If it's offered with your health plan, the specialty drug program gives you a convenient, cost-effective way to order specialty drugs for delivery to your home. By getting your drugs from a pharmacy in the specialty network, you'll be assured of quality while you save money and time.

Quality

The specialty network suppliers are accredited by the Joint Commission on Accreditation of Healthcare Organizations, which ensures the highest standard of pharmacy care. They're experts in supplying drugs and services to patients with complex health conditions. You'll get:

  • Support to answer your questions about self-administered injectable drugs
  • Educational materials about your condition and medications
  • 24-hour access to pharmacists who can help with questions about your drug

Convenience

Order your specialty drug each month from a specialty drug supplier, pay your health plan's applicable in-network copay or coinsurance amount and eliminate the expense of driving or having to find transportation to a pharmacy to pick up your drugs.

Save time

Your drugs are conveniently and safely delivered to your home. You work with the network supplier you choose to work out delivery arrangements that fit your schedule.

To get started

Follow these guidelines to begin receiving your drug through the program:

  • Have the prescribing doctor's contact information and your member ID card available when you're ready to get started in the specialty drug program.
  • Call one of the specialty suppliers listed below to get started and to make sure you continue to receive the drug you need. See the list of specialty drugs (PDF).

Ordering refills

A professional representative from the specialty drug supplier you choose will call you before your scheduled refill. The representative will confirm your prescription and dosage, discuss any changes your doctor has ordered and answer questions. The representative will also coordinate your next shipment of specialty drugs.

Specialty supplier arranges each shipment

Specialty drugs usually need special handling and storage. We recommend that you work with your specialty drug supplier to arrange for delivery when you are available to accept and sign for your drugs. This will ensure that your drugs are not left in conditions where they can spoil or be lost.

Other prescription drugs

Only select injectable and oral medications are available through the specialty drug program. Continue to get your other prescription drugs as you normally do.

Your out-of-pocket costs

If the program is available with your health plan, when you use a specialty drug supplier, you'll pay only your plan's applicable coinsurance or copay amount for specialty drugs. There are no additional costs for shipping and handling. Remember, if you do not use one of our suppliers, you will be responsible for your entire drug cost.

Specialty network suppliers

The specialty drug program offers you these choices in professional specialty drug suppliers:

 

Fairview Specialty Pharmacy, LLC*
1-800-595-7140
(612) 672-5262 fax
www.fairviewspecialtyrx.org

*Fairview can only fill prescriptions for Hemophilia medications, Growth Hormone medication, and Infertility medication.

 

Triessent
1-888-216-6710
1-866-203-6010 fax

 

The specialty network suppliers were selected for their outstanding customer service and dedication to patients. These suppliers are experts in handling the types of drugs you're taking.