Members with serious, chronic conditions can order certain specialty medications quickly and conveniently through the Specialty Pharmacy Program from BlueCross BlueShield of Tennessee. A special network of vendors, experienced in managing these medications and providing patient support, is available for our members and prescribing physicians.
|Accredo Health Group
|Caremax of Loudon, Inc.
dba Paragon Infusion
|HPC Specialty Pharmacy
|PharMerica DBA Onco360
|Regional One Health
|Restore Rx, Inc.
Purchasing your specialty medications from these preferred vendors helps you maximize your health care benefits and provides a number of resources to you and your doctor.
Advantages to You
Advantages to Your Doctor
Your doctor gains extra support services to help manage your care, such as:
The Specialty Pharmacy Program includes high-cost medications for chronic, serious diseases such as hepatitis C, multiple sclerosis, arthritis, hemophilia and other conditions. As noted on the 2018 Preferred Formulary and Prescription Drug List, there are two different types of Specialty Pharmacy medications: provider-administered and self-administered.
Some specialty medications require prior authorization. Your doctor should check the 2018 Preferred Formulary and Prescription Drug List and obtain prior authorization before administering or prescribing these medications.
Coverage of these medications is determined by your benefit plan.
If you do not have prescription drug coverage through BlueCross BlueShield of Tennessee, self-administered medications will not be covered by your BlueCross BlueShield of Tennessee medical benefit. If you have prescription drug coverage through another insurer, check with your employer or plan administrator to determine your coverage level for self-administered medications.
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