Specialty Drug Program

Specialty drug program

Specialty drugs are used to treat serious or chronic 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.

What this means for you

You work directly with a specialty drug vendor (listed below) to have your drugs conveniently and safely delivered to your home. The vendor will work with you to make delivery arrangements that fit your schedule.
Specialty drug vendors are experts in supplying drugs and services to patients with complex health conditions. They will provide you with educational materials about your condition and the medications that have been prescribed to you, including 24-hour access to pharmacists who can answer your questions.
When you use a specialty drug vendor, you’ll pay only your plan’s deductible, coinsurance or copay amount for specialty drugs. There are no additional costs for shipping and handling.

How to get started

Follow these guidelines to begin receiving your drugs through the specialty pharmacy network:

View the list of specialty drugs (PDF) that are covered by the program
Call one of the specialty suppliers listed below to get started
Have your doctor’s contact information and your member ID card available when you call

Drug list, prescription form and more info

FlexRx Standard Quantity Limit, Specialty, and Step Therapy Program Drug List (PDF). This drug list is for members that have the FlexRx formulary and the Specialty Drug Program. This list is subject to change without notice.
Specialty Medication Prescription Form (PDF). Complete this form and submit it to the specialty network vendor you choose.

Ordering refills

The specialty drug vendor you choose will call you before your scheduled refill. The representative will confirm your prescription and dosage, discuss any changes from your doctor and coordinate your next shipment of specialty drugs.

Specialty network vendors

The specialty drug program offers you these choices in professional specialty drug vendors. The specialty network vendors were selected for their outstanding customer service and dedication to patients. These vendors are experts in handling the types of drugs you’re taking.

Fairview Specialty Pharmacy, LLC
1-800-595-7140
1-866-347-4939 fax

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

Children's Home Care*
1-866-656-1020
612-813-7207 fax
*Children's Home Care can only fill prescriptions for Hemophilia Medications.