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For the therapies listed below, we encourage you to refer our members to these preferred providers for services because they offer additional value-added services to our members. Use of preferred providers is not required.
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Asthma
| For this intravenous or injectable medication: | Use this preferred HIT provider: |
|---|---|
| Xolair | Accredo |
Enzyme replacement
| For this intravenous or injectable medication: | Please use this preferred HIT provider: |
|---|---|
| Aldurazyme |
Accredo Caremark, LLC |
| Cerezyme | |
| Elaprase | |
| Fabrazyme | |
| Myozyme | |
| Naglazyme | |
| VPRIV |
Hemophilia
| For this intravenous or injectable medication: | Please use this preferred HIT provider: |
|---|---|
| Advate |
Accredo Boston Hemophilia Center Caremark, LLC Mass General Hemophilia and Thrombosis Treatment Center
|
| Adynovate | |
| Afstyla | |
| Alphanate | |
| AlphaNine | |
| Alprolix | |
| Bebulin | |
| BeneFIX | |
| Corifact | |
| Eloctate | |
| Feiba | |
| Helixate FS Sol | |
| Hemlibra | |
| Hemofil M | |
| Humate-P | |
| Idelvion | |
| Ixinity | |
| Koate – DVI | |
| Kogenate FS – Inj | |
| Kovaltry | |
| Monoclate–P Inj | |
| Mononine Inj | |
| NovoSeven Inj | |
| Novoeight | |
| Nuwiq | |
| Obizur | |
| Profilnine | |
| Recombinate Inj | |
| RiaSTAP | |
| Rixubis | |
| Tretten | |
| Vonvendi | |
| Wilate | |
| Xyntha |
IVIG
| For this intravenous or injectable medication: | Please use this preferred HIT provider: |
|---|---|
| Bivigam |
Accredo Caremark, LLC |
| Carimune | |
| Cuvitru | |
| Cytogam | |
| Flebogamma | |
| GamaSTAN | |
| Gammagard | |
| Gammagard Liquid | |
| Gammaked | |
| Gammaplex | |
| Gamunex | |
| Hizentra | |
| HyQvia | |
| Octagam | |
| Privigen |
Pulmonary arterial hypertension
| For this intravenous or injectable medication: | Please use this preferred HIT provider: |
|---|---|
| Flolan |
Accredo
|
| Remodulin | |
| Ventavis |
RSV Immunoprophylaxis
| For this intravenous or injectable medication: | Please use this preferred HIT provider: |
|---|---|
| Synagis | Caremark, LLC |
Contact information for preferred HIT providers
The HIT provider should obtain the necessary authorization.
| Name of preferred HIT network provider | Contact information | |
|---|---|---|
| AccredoSM | Phone: Web: |
1-866-759-1557 For Hemophilia therapies: 1-866-712-5007 www.accredo.com |
| Boston Hemophilia Center (only for members who receive medical care with their affiliated clinics at Boston Children's Hospital and Brigham and Women's Hospital) |
Phone: Web: Phone: Web: |
1-617-355-6101 (Boston Children's Hospital/pediatric) Boston Hemophilia Center 1-617-278-0707 (Brigham & Women’s Hospital/adult) Boston Hemophilia Center |
| Caremark, LLC | Phone: Web: |
1-866-846-3096 1-800-237-2767 (Synagis requests only) www.caremark.com |
| Mass General Hemophilia and Thrombosis Treatment Center | Phone: Web: |
1-877-726-5130 (Adult Hemophilia Program) www.massgeneral.org |
| Phone: Web: |
1-617-726-2737 (Pediatric Hemophilia Program) www.massgeneral.org |
|
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