Specialty Medical Drugs

Specialty drugs are prescription medications that are used to treat complex or chronic medical conditions like cancer, rheumatoid arthritis, multiple sclerosis and hepatitis, just to name a few. Most groups have implemented programs designed to manage the use of these drugs through the medical benefit.

 

Prior Authorization

Some medical (injectable/infusible) specialty drugs require prior authorization. Learn how the Medical Prior Authorization program works and which drugs are included.

 

Self-Administered Drugs

Certain self-administered specialty drugs are only covered under the pharmacy benefit. Learn how the Self-Administered Drug program works and which drugs are included.

 

Site of Care

Some infused specialty medications must be administered at home or at an infusion suite. Learn more about the Site of Care program and which drugs are included.