View specialty drug information for our Affordable Care Act (ACA) Business Advantage product. The specialty drug information listed here is not applicable for Business Advantage.
Drugs on the specialty drug list are used to treat complex or chronic conditions.This includes cancer, rheumatoid arthritis, multiple sclerosis and hepatitis, among others. Some specialty drugs can either be taken by mouth or injected by the patient themselves, or they may be given/administered in a doctor’s office. Benefits may require certain specialty drugs be administered/given in a specific site of service. Specialty drugs may need special handling and refrigeration. Taking them sometimes requires careful monitoring.
Most BlueChoice HealthPlan members are required to use our preferred specialty pharmacy, CVS/specialty, to have coverage for their specialty drugs. CVS/specialty is a division of CVS Health, an independent company that provides specialty pharmacy services on behalf of BlueChoice®. To contact CVS/specialty, call 800-237-2767. CVS/specialty doesn't have to fill specialty drugs administered in a doctor's office.
Not sure how your health plan covers specialty drugs? Check your benefits booklet. Or talk with your employer’s benefits department. You can also log in to My Health Toolkit®. There you’ll find personal information about your prescription drug coverage.