Specialty Medications
Specialty MedicationsOur specialty pharmacy partner is here to support you with the care and medications you need everystep of the way. The list of medications provided below includes those medication that are part of ourSpecialty Patient Care Program.If you are approved to start or are already taking a specialty medication on this list you can sign up forthe Specialty Patient Care Program to receive complimentary treatment support: A Patient Care Specialist will reach out to you to coordinate support.Reimbursement specialists, clinical pharmacists, dietitians and other care supportprofessionals are available as appropriate to meet your needs.Shipments of your medication will be scheduled to be delivered to your door at a time thatworks for you.How do I get my Specialty Patient Care Program Started?Call (206) 413-9371 to connect with ourSpecialty Patient Care Program deliveredby our Specialty Pharmacy partner.Approval Requirements for Specialty MedicationsAll specialty medications require a prior authorization review by Prescryptive before these medicationscan be dispensed and your Specialty Patient Care Program can get started. Only a written approvalwill guarantee coverage of medications requiring prior authorization.How Do I Get a Prior Authorization Review Started?To initiate prior authorization, your health care provider needs to initiate the request by downloading andfilling out the Prior Authorization Request Form found at www.prescryptive.com/prescriber.Your prior authorization review will be initiated once the form is faxed into our secure system.Version 202002Copyright 2020 Prescryptive Health, Inc.1 of 11
Specialty Medication Reference ListBelow is a list of specialty medications covered by your plan after a prior authorization review.Quantity limits may also apply. This list is intended only as a guide to coverage. We encourage youto talk to your doctor about all of your treatment options.Your benefit plan may have a different co-pay or co-insurance coverage for specialty medications.To learn more about your benefit plan coverage, check your specific plan documents available bylogging in to your member portal at www.prescryptive.com/member.Please note: Pharmacy products and services covered by a plan member’s benefit plan may changefrom time to time. Some products and services may not be covered under a specific member’s plandesign. The information provided here is for general information purposes only and does notguarantee coverage. Some pharmacy products and services require prior authorization before theyare covered. Only a written prior authorization approval will guarantee coverage for such productsand services. To ensure coverage, members should reference their specific plan documents atwww.prescryptive.com or contact Prescryptive Member Services at the phone number on theirMember ID card.MedicationAbiraterone AcetateActemraAdefovir n rixtraAubagioAuryxiaAustedoAvonex PenVersion 202002StatusNon-PreferredNon-PreferredGeneric referredPreferredPreferredGeneric pyright 2020 Prescryptive Health, Inc.2 of 11
staranDaraprimDaurismoDeferasiroxDemserVersion edNon-PreferredGeneric PreferredGeneric redPreferredPreferredPreferredNon-PreferredGeneric redPreferredGeneric PreferredPreferredCopyright 2020 Prescryptive Health, Inc.3 of 11
MedicationDepen aEmgalityEnbrelEndariEnoxaparin ib inux SodiumForteoFragminFulphilaGalafoldGattexVersion dPreferredGeneric referredGeneric PreferredPreferredGeneric PreferredPreferredGeneric dGeneric referredCopyright 2020 Prescryptive Health, Inc.4 of 11
MedicationGenotropinGilenyaGilotrifGlatiramer HumatropeHumiraHycamtinIbranceIcatibant AcetateIclusigIDHIFAIlarisIlumyaImatinib bicIntron AIressaJadenuJadenu ion 202002StatusNon-PreferredPreferredPreferredGeneric PreferredGeneric edGeneric eneric pyright 2020 Prescryptive Health, Inc.5 of 11
MedicationKeveyisKevzaraKineretKisqaliKisqali FemaraKitabis ikMozobilMulpletaMyaleptNatparaNerlynxVersion ferredPreferredGeneric dPreferredGeneric rredPreferredPreferredCopyright 2020 Prescryptive Health, Inc.6 of 11
NityrNivestymNorditropin edextaNuplazidNutropin AQOcalivaOctreotide PanretinPegasysPegIntronVersion ferredGeneric referredNon-PreferredPreferredGeneric ferredPreferredCopyright 2020 Prescryptive Health, Inc.7 of 11
MedicationPenicillAMINEPhenoxybenzamine daptSaizenSamscaSancusoSerostimSevelamer HClSiklosVersion 202002StatusGeneric PreferredGeneric ic ferredPreferredGeneric neric PreferredPreferredCopyright 2020 Prescryptive Health, Inc.8 of 11
MedicationSiliqSimponiSirturoSkyriziSodium ThiolaVersion ferredGeneric referredPreferredPreferredGeneric PreferredPreferredPreferredCopyright 2020 Prescryptive Health, Inc.9 of 11
MedicationThiola ECTibsovoTiglutikTobiTobi PodhalerTobramycinTremfyaTretinoinTrientine rzenioViberziViekira yndamaxVyndaqelWakixXadagoVersion edPreferredGeneric PreferredPreferredGeneric PreferredGeneric rredPreferrPreferrededCopyright 2020 Prescryptive Health, Inc.10 of 11
MedicationXalkoriXeljanz, atierZiextenzoZileuton Version ic redNon-PreferredPreferredPreferredCopyright 2020 Prescryptive Health, Inc.11 of 11
Specialty Patient Care Program. If you are approved to start or are already taking a specialty medication on this list you can sign up for the Specialty Patient Care Program to receive complimentary treatment
For most BCBSAZ members, specialty copay tiers (A, B, C, or D) apply. Tier Description A Specialty Medications, Low Cost Share B Specialty Medications, Moderate Cost Share C Specialty Medications, Moderately High Cost Share D Specialty Medications, Highest Cost Share Plans may include specialty medications at varying cost share tiers. Questions?
About one quarter of total pharmaceutical spending in the commercial market is devoted to specialty medications. 3. If current trends hold, spending on specialty medications may comprise half of all pharmaceutical spending by 2018 for commercial health care plans. 4. These trends have invited the scrutiny of plan sponsors.
to connect with our Specialty Patient Care Program delivered by our Specialty Pharmacy partner. Note: Some specialty medications are only available through a small number of pharmacies. If the . Forteo Preferred
Doctor. PRN medications are taken “as needed” to treat a specific symptom. PRN medications include both prescription and over-the-counter medications. PRN medications must always be ordered by a doctor. The doctor’s order should include the minimum and maximum number of doses, the
Generic medications contain the same active ingredients (what makes the medication work) as brand-name medications, but they often cost less. Once the patent of a brand-name medication ends, the FDA can approve a generic version with the same active ingredients. These types of medications are known as generic medications.
1. Define cytotoxic and non-cytotoxic hazardous medications. 2. Recognize & prevent potential risks and conditions for exposure to potentially hazardous medications. 3. Determine appropriate precautions for safe handling of potentially cytotoxic and non-cytotoxic hazardous medications and as
bcpillc1 Drug name, birth control medications 1 Num DRUGF. 43 100.0 bcpillc2 Drug name, birth control medications 2 Num DRUGF. 4 100.0 bcpillc3 Drug name, birth control medications 3 Num DRUGF. 4 100.0 bcpillc4 Drug name, birth control medications 4 Num DRUGF. _ _ estprog Regularly took estrogens or progesterones during the last two years
Lesson One: Managing Your Medications Reading and Writing Practice Before You Read! In this lesson, you will read about Lena and Youssef's problems taking their medications. Activity One: Before you read, discuss the following questions with your classmates and teacher. 1. What kind of medications do you take regularly? Which of these are
