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Asthma XolairFactor Products Advate
AlphanateAlphanineAutoplexBebulinBenefixFeibaHelixate FSHemofilHumateKoateKogenateKonyneMonarcMonoclateMononineNovoSevenProfilnineProplexRecombinateRefacto
Gaucher's Cerezyme
PPH FlolanRemodulin
Psoriasis Amevive
Rheumatoid Arthritis Remicade
RSV Synagis
Therapeutic Class Drug
Specialty Pharmacy ProgramMedical Benefit Drugs*
Anemia/neutropenia AranespEpogenNeulastaNeupogenProcrit
Drugs Under Both Benefits
Therapeutic Class Drug
Therapeutic Class Drug
*examples only – not a comprehensive list
Growth Hormone GenotropinHumatropeIncrelexNorditropinNutropinSaizenSerostimTev-TropinZorbtive
Hepatitis C CopegusInfergenIntron APegasysPeg-IntronRebetolRebetronRibavirin
Multiple Sclerosis AvonexBetaseronCopaxoneRebif
Rheumatoid Arthritis EnbrelHumiraKineret
Psoriasis RaptivaEnbrel
Therapeutic Class Drug Therapeutic Class Drug
Specialty Pharmacy ProgramPharmacy Benefit Drugs*
Therapeutic Class DrugTherapeutic Class Drug
Drugs Under Both Benefits
Anemia/neutropenia AranespEpogenNeulastaNeupogenProcrit
Therapeutic Class Drug
*examples only – not a comprehensive list
The Specialty Pharmacy Referral Line directs members to the appropriate specialty pharmacy
Members are directed to the
specialty pharmacy that
provides their specific
medications at a low net cost
• Toll-free telephone number 866-429-8177• 24 hours a day/365 days a year
• Trained customer service representatives (CSRs) answer questions and explain the process
• CSRs are fully trained on the program and protocols for directing members to the right pharmacy
Specialty Pharmacy
Contracted Therapeutic Category
Freedom Infertility
ICore Growth Hormone
Optioncare Hepatitis C
McKesson Anemia, Neutropenia, Hepatitis C
Pharmacare Rheumatoid Arthritis (+ Psoriasis), Multiple Sclerosis, Anemia, Neutropenia, Growth Hormone
Walgreens Rheumatoid Arthritis (+ Psoriasis), Multiple Sclerosis
Quality Assurance is an integral part of the network strategy
As of January 1, 2007, implemented nationally for more than 4.9 million members