Specialty medications include injectable and infused therapies used to treat complex medical conditions such as growth hormone deficiency, hepatitis C, immune deficiency, hemophilia, multiple sclerosis and rheumatoid arthritis. Due to special storage requirements and high cost, injectable specialty medications may not be readily available at local pharmacies or routinely stocked by physicians' offices.
The Blue Cross and Blue Shield of Illinois (BCBSIL) Specialty Pharmacy Program helps deliver injectable specialty medications directly to physicians or to members. To better meet your needs, BCBSIL has contracted with the following specialty pharmacies:
McKesson Specialty Pharmacy Services - both a medical provider (may submit medical claims) and pharmacy provider (may submit pharmacy claims) for a wide variety of specialty medications, including Synagis and hemophilia medications.
To contact McKesson Specialty, please call (888) 456-7272 or fax McKesson Specialty injectable request order form to (888) 591-8482.
Accredo Health Group - pharmacy provider of specialty drugs, including hemophilia medications. To contact Accredo, please call (866) 591-9075.
Tap Pharmacy Solutions - medical provider of Lupron Depot. To contact Tap, please call (800) 859-0220.
Caremark Specialty - medical provider of Xolair. To contact Caremark, please call (800) 237-2767.
When you obtain self-injectable specialty medications from these preferred specialty pharmacies, physicians and members receive valuable services to help in managing therapy, including:
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integrated coordination of coverage between the member, physician and BCBSIL
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no up front acquisition cost to physicians for non self administered/office based specialty medications
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convenient delivery of medication to physician's office or member's address
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injection supplies with every shipment, including alcohol swabs, needles and syringes
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automatic coordination of refills
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patient education materials and therapy starter kits from drug manufacturers
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24-hour hot line staffed nurse and/or pharmacist to call with medication and injection questions.
Please note that injectable coverage is based on member's benefit. Prior Authorization or Pre-Determination approval still applies to specific medications that fall under clinical review.
*The relationship between Blue Cross and Blue Shield of Illinois and the following specialty pharmacies, McKesson Specialty Pharmacy Services, Accredo Health Group, Tap Pharmacy Solutions, and Caremark Specialty, is that of independent contractors.
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