Specialty Pharmacy Information
Specialty Pharmacy Medications are high-cost injectable, infused, oral or inhaled medications that generally require close supervision and monitoring of the patient’s therapy.
Specialty Pharmacy Medications are divided into two categories:
Self-Administered – Patients self-administer these medications themselves. For many members these drugs are only covered by their pharmacy benefit and are available at the lowest cost share when obtained from a participating Specialty Pharmacy provider.
Provider-Administered – These medications are ordered and administered in an office or outpatient setting. For many members these drugs are only covered by their medical benefit.
Note: Certain medications are noted as either Self-Administered and/or Provider-Administered and are covered in either setting.
Participating Specialty Pharmacy Provider
Our network for Specialty Pharmacies is limited to the following participating Specialty Pharmacy providers. Unless indicated below, any other pharmacy is considered a non-participating Specialty Pharmacy.
To enroll your patient in a participating specialty pharmacy; use the Physician & Provider Forms available to get started.
Fax: (888) 302-1028
Caremark Specialty Pharmacy Services
Phone: (866) 278-5108
Fax: (800) 323-2445
CVS Caremark Specialty Pharmacy
Caremark Hemophilia Services
Telephone: (866)792-2731 (Mon.-Fri., 9:00 a.m. to 7:30 p.m. EST)
Fax: (866) 811-7450