Specialty medications are high-cost injectable drugs that generally require close supervision and monitoring of the patient’s drug therapy. These drugs often require special handling such as temperature-controlled packaging and overnight delivery and are often unavailable at retail pharmacy stores. Office-based injectables are typically covered under the medical benefit while self-injectable medications are typically covered under the pharmacy benefit.
Specialty Medication List
Healthy Blue uses a separate specialty pharmacy network for dispensing of specialty medications that are covered under the pharmacy benefit. Our participating specialty pharmacies provide special care when a specialty drug is dispensed. In addition, these pharmacies assist members who have complex medical conditions to stay compliant with their specialty drug regimens.
Benefits of Using a Specialty Pharmacy:
- Members receive individualized care from health care professionals who are trained in specialty medications and in the member’s condition. This includes patient care representatives, nurses and pharmacists.
- Shipping, including special handling of refrigerated medications, is done at no cost.
- Members receive refill reminders to assist them in keeping on schedule with taking medications.