Specialty Drug List

The following drugs are only available through the Specialty Pharmacy Network.

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.

***This list does not guarantee coverage and is subject to change.***

Drugs in bold may require preauthorization. Refer to Preauthorization List and process if bolded.