Medications used to treat complex health conditions are designated on our formularies as “specialty medications” and may have specific requirements for coverage as part of a member’s pharmacy benefits.
Members must use one of the in-network specialty pharmacies listed below for these medications:
| Specialty pharmacy network contacts | ||
|---|---|---|
| Accredo Health Group | CVS Specialty | Walgreens Specialty Pharmacy |
| Phone: 1-800-987-4904 option 5 Fax: 1-800-391-9707 Website |
Phone: 1-866-846-3096 Fax: 1-800-323-2445 Website |
Phone: 1-888-347-3416 Fax: 1-877-231-8302 Website |
| Fertility specialty pharmacy network contacts | |||
|---|---|---|---|
| CVS Specialty | Freedom Fertility Pharmacy | Village Fertility Pharmacy (Boston/Waltham, MA location only) |
Walgreens Specialty Pharmacy |
| Phone: 1-866-846-3096 Fax: 1-800-323-2445 Website |
Phone: 1-866-297-9452 Fax: 1-888-660-4283 Website |
Phone: 1-877-334-1610 Fax: 1-877-334-1602 Website |
Phone: 1-800-424-9002 Fax: 1-888-347-3417 Website |
Members must use CVS Caremark for these medications:
Certain self-injectable drugs will be covered only when dispensed by a pharmacy under the pharmacy benefit, and covered once per lifetime per therapeutic category of drugs when dispensed by a non-pharmacy benefit provider. This benefit limitation does not apply when Medicare Part B is primary.
Be sure to submit claims for drugs dispensed by a pharmacy to Caremark™, the Federal Employee Program pharmacy benefit manager. For details, visit www.caremark.com or call 1-888-346-3731 for the list of medications restricted under this benefit.
Members with Medicare Advantage and Medex®′ plans are encouraged, but not required, to use a pharmacy in our specialty network.
