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.