Specialty Drug List
The following drugs are only available through the Specialty Pharmacy Network.
Drugs Covered Under the Medical Benefit
- The word "medical" will be listed after the drug name.
- After you have met your medical deductible (if applicable), you will pay the coinsurance amount for the cost of the drug. For example, if your coinsurance is 20%, you will pay 20% of the cost of the drug.
Drugs Covered Under the Pharmacy Benefit
- After you have met your pharmacy deductible (if applicable), you will pay the co-pay or coinsurance for the drug.
NOTE: Drugs in bold may require preauthorization. Refer to Preauthorization List and process if bolded.