What Do I Need to Know About Specialty Drugs?
When you're fighting cancer or dealing with a difficult condition like multiple sclerosis, you may need something we call specialty drugs.
They typically require special handling, administration or monitoring. It's also likely they'll need prior approval before your plan will help pay for them. Some can only be filled by a specialty pharmacy.
Details about specialty drugs aren't just available to your doctor and pharmacists. They're available to you too, three different ways.
You'll need the name of the drug. It's helpful to know the dosage your doctor prescribed.
We can answer questions about a specialty drug during business hours. Contact us and we'll help.
Most specialty drugs can be filled at a retail pharmacy or by mail order through AllianceRx Walgreen Pharmacy. Some specialty drugs can only be ordered and delivered by mail from one pharmacy.
If your doctor didn't send in the prescription for you, use the Specialty Drug Program Rx Benefit Member Guide (PDF) to look up your drug and find out where and how to fill your prescription.
You may have a pharmacy benefit design that requires you get specialty drugs from our exclusive pharmacy network for specialty drugs. AllianceRx Walgreen Pharmacy is our exclusive specialty pharmacy network provider. To find out if you must use AllianceRx Walgreen Pharmacy or a retail Walgreens pharmacy for your specialty pharmacy prescriptions, log in to your member account.
Whether you get them at a pharmacy or by mail order, Blue Care Network HMO plans limit most specialty drugs to a 30-day supply. Some Blue Cross Blue Shield of Michigan PPO plans do, too.
Some drugs are limited to a 15-day supply. They're listed on the 15-day Specialty Drug Limitation Program (PDF). If you have a copay for your prescription, you only pay half of it for these drugs.