asthmaxolair factor productsadvate alphanate alphanine autoplex bebulin benefix feiba helixate fs...

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Asthma Xolair Factor Products Advate Alphanate Alphanine Autoplex Bebulin Benefix Feiba Helixate FS Hemofil Humate Koate Kogenate Konyne Monarc Monoclate Mononine NovoSeven Profilnine Proplex Recombinate Refacto Gaucher's Cerezyme PPH Flolan Remodulin Psoriasis Amevive Rheumatoid Arthritis Remicade RSV Synagis Therapeutic Class Drug Specialty Pharmacy Program Medical Benefit Drugs* Anemia/neutropenia Aranesp Epogen Neulasta Neupogen Procrit Drugs Under Both Benefits Therapeutic Class Drug Therapeutic Class Drug *examples only – not a comprehensive list

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Page 1: AsthmaXolair Factor ProductsAdvate Alphanate Alphanine Autoplex Bebulin Benefix Feiba Helixate FS Hemofil Humate Koate Kogenate Konyne Monarc Monoclate

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

Page 2: AsthmaXolair Factor ProductsAdvate Alphanate Alphanine Autoplex Bebulin Benefix Feiba Helixate FS Hemofil Humate Koate Kogenate Konyne Monarc Monoclate

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

Page 3: AsthmaXolair Factor ProductsAdvate Alphanate Alphanine Autoplex Bebulin Benefix Feiba Helixate FS Hemofil Humate Koate Kogenate Konyne Monarc Monoclate

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

Page 4: AsthmaXolair Factor ProductsAdvate Alphanate Alphanine Autoplex Bebulin Benefix Feiba Helixate FS Hemofil Humate Koate Kogenate Konyne Monarc Monoclate

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