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Specialty Drugs & Medication List
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Short Description: Service or your Plan Administrator. Specialty Drugs & Medication List. MUGC8356_1106. Specialty Pharmacy Medication List. Specialty Drugs & Medications ...
Content Inside: Specialty Drugs & Medication List Specialty Drug & Medicines are high-cost Unlike most retail pharmacies, the Specialty injectables, infused, oral or inhaled drugs for the Pharmacy providers maintain an adequate inventory ongoing treatment of a chronic condition. These of Specialty Drugs & Medicines in order to provide drugs generally require close supervision and prompt home delivery of your medications. monitoring of the patient's drug therapy. By utilizing a Specialty Pharmacy, you will also The drugs listed below are considered Specialty receive additional value added services while at the Drugs & Medicines, as defined by Mutual of Omaha, same time, maximizing pharmacy benefit dollars. and are covered under the Specialty Pharmacy Drugs These providers can help you at no extra cost with: & Medicines of your Prescription Drug plan. n Education and wellness programs that provide NOTE: This list may not be all-inclusive and is information, materials and ongoing support to subject to change. Certain drugs may require prior help you manage your health authorization and all drugs listed may not be n Complete insurance billing, including covered under your specific plan. Please refer to coordination of benefits for lower out-of-pocket your Benefits Document for details. costs and virtually no paperwork To qualify for in-network benefits under your n Timely, accurate and free courier delivery of Prescription Drug plan, these medications must be medications, many of the times with next obtained through one of the participating Specialty day delivery Pharmacy providers, which are: n Supplies, including syringes, alcohol swabs and sharps kits, if required CuraScript: 866-297-0932 or www.curascript.com If you have any questions regarding the Specialty Pharmacy Drugs & Medications provision of your PharmaCare: Prescription Drug plan, please contact Customer 888-900-3232 or www.pharmacare.com Service or your Plan Administrator. Caremark: 800-237-2767 or www.caremark.com Specialty Drugs & Medications ANTICOAGULANT THERAPY Factor IX (Recombinant) Arixtra Lovenox Benefix250u/vial Fragmin Factor IX (Monoclonal/High Purity) ARTHRITIS THERAPY** AlphanineSDVF Mononine Enbrel Orencia Factor IX (Other) Humira Remicade BebulinVH ProfilnineSD Hyalgen Supartz Konyne-801000u/vial ProplexT Kineret Synvisc Inhibitor Therapies BLOOD FACTOR PRODUCTS Amicar Genarc Factor VIII (Recombinant) AminocaproicAcid Hyate-C Advate Recombinate Autoplex-T NovoSeven HelixateFS Refacto Feiba-VH Stimate KogenateFS GROWTH HORMONE*** Factor VIII (Monoclonal) Genotropin2mg NutropinDepot Hemofil-M MonoclateP Humatrope Protropin MonarcM Increlex Saizen Iplex Serostim Factor VIII (Other) Norditropin Zorbtive AlphanateSDHT KoateDVI1000u/vial Nutropin Humate-P(vWD) MUGC8356_1106 Specialty Pharmacy Medication List
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