Specialty pharmacy
Specialty pharmacies fill prescriptions for medications that usually require close monitoring and may require special handling, including refrigeration.
Offering convenience and support
You can have your specialty medications delivered to your door. Guidance on how to safely take your medication is included.
If you have injectable medication, necessary supplies are included at no extra charge (for example, needles, syringes, swabs, and disposable containers).
Retail pharmacy exceptions
Members enrolled in a Medicare Advantage Prescription Drug Plan, Medicare Prescription Drug Plan, and some Commercial plans may have prior authorized, specialty medications filled at any in-network retail pharmacy. Check your Evidence of Coverage (EOC) or Certificate of Insurance (COI) for your specific benefit information or call Customer Service at the number on your BlueShield member ID card.
How to use a specialty pharmacy
Start by getting a prior authorization for your specialty medications. Then ask your physician to call or fax your prescription to one of these network specialty pharmacies:
CVS Specialty®
Filling this list of specialty drugs
Phone: (800) 237-2767
Fax: (800) 323-2445
Go to CVS Specialty
Lumicera Health Services
Only filling generic abiraterone 250 mg
Phone: (855) 847-3553
Fax: (855) 847-3558
Go to Lumucera Health Services
Please have your physician call or fax your prescription to CVS Specialty.
Network Specialty Pharmacies provide convenient mail delivery of specialty medications, as well as access to personalized, supportive, and clinically-effective pharmaceutical care.
There are many benefits of using a Network Specialty Pharmacy:
- Team of dedicated pharmacists and nurses are available to answer your questions
- Coordination of care with your doctor
- Medications packaged for special handling requirements such as refrigeration and delivered to a location of your choice
- Convenience of receiving your prescriptions through the mail, which saves you a trip to the pharmacy
- Easy refills and refill reminders
- Education and counseling programs to meet your needs and detailed instructions on how to safely and effectively take your medication
- All supplies required for administration of specialty medications that are injectable (such as needles/syringes, alcohol swabs, sharps containers, etc.) are included, at no additional charge
1Members enrolled in a Medicare Advantage Prescription Drug Plan, Medicare Prescription Drug Plan, and some Commercial plans may have prior authorized, specialty medications filled at any network retail pharmacy. Check your Evidence of Coverage (EOC) or Certificate of insurance (COI) for your specific benefit information or call Customer Service.
Forms and FAQs
MULTIPLAN_23_392A_C 08222023
Page last updated: 10/01/2023
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This information is not a complete description of benefits. Call Customer Service at (800) 776-4466 (TTY: 711) for more information.
The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
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