Specialty drug program

Overview

Specialty drugs are used to treat serious or chronic conditions such as multiple sclerosis, hemophilia, hepatitis and rheumatoid arthritis. These drugs are typically injected and can be given by the patient or a family member. Your doctor can tell you if your drug is a specialty drug.

If you take a specialty drug and this program is included with your pharmacy benefits, you can work with an approved specialty drug pharmacy to receive your medicines.

Not all health plans include the specialty drug program. Log in to your member account to review your pharmacy benefits or call the number on the back of your member ID card to verify eligibility.

How the specialty drug program can help you

Specialty drug pharmacies are experts in getting drugs and services to patients who have complex needs:

  • They provide educational materials about your condition and your medications
  • They offer convenient home delivery with no extra costs for shipping and handling
  • You get 24-hour access to pharmacists who can answer your questions
  • You only pay your plan deductible, coinsurance or copay amount when using an approved specialty drug pharmacy

Search covered drugs

Log in to your member account to find medicines in your covered drug list and pharmacies in your network.

Program details

Get started

Check the list of specialty drugs covered by the program. You'll need to know the name of the drug list for your plan. This list may change without notice.

Call one of the approved specialty network pharmacies. Have your doctor’s contact information and your member ID card when you call.

Get refills

The specialty pharmacy you choose will contact you before your scheduled refill. They will confirm your order and dose and discuss any changes from your doctor. They’ll also coordinate your next shipment.

Specialty network pharmacies

These approved pharmacies were chosen for their outstanding customer service and dedication to their patients. They are experts in handling the types of drugs you’re taking.

Essentia Health

All specialty drugs except hemophilia drugs

Phone: 1-844-380-5626 or (715) 817-7145  Fax: (218) 786-7368

Children’s Home Care

Hemophilia drugs only

Phone: 1-866-656-1020  Fax: (612) 813-7207

This information does not apply to Medicare plans or Medical Assistance (Medicaid) Programs.

The prescription drug programs included with your health plan depend on the type of plan. To find out which programs are available to you, check your plan materials or call the number on the back of your member ID card.