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Specialty Drugs Specialty drugs are high-cost drugs used to treat complex or rare conditions, such as multiple sclerosis, rheumatoid arthritis, hepatitis C, and hemophilia. The drugs are often self-injected or administered in a physician’s office or through home health services.

Download the Specialty Drug List  (236KB) to learn what drugs are considered specialty drugs. Use this list as a reference if your benefit design has some specialty drugs covered under your drug card benefit and other specialty drugs covered under your health benefit.

For more information about your specialty drug coverage:

• See your coverage manual or policy; or
• Call the customer service phone number listed on your Wellmark ID card

Preferred Specialty Pharmacy Providers
Specialty pharmacies specialize in the delivery and clinical management of specialty drugs.

Wellmark has two preferred specialty pharmacy providers: Caremark Specialty Pharmacy and Fairview Specialty Pharmacy. When you use these preferred providers for your specialty drugs, you receive the following services at no extra cost:

• Educational materials and ongoing support to help you manage your health
• Complete insurance billing, including coordination of benefits for lower out-of-pocket costs and virtually no paperwork
• Free courier delivery of medications, often with next-day delivery
• Supplies, including syringes, alcohol swabs, and sharps kits, if required
• Access to pharmacists and other health experts 24 hours a day, seven days a week
• Follow-up care calls to remind you when it is time to refill your prescription, check on your therapy progress, and answer any questions you may have

How to Order Using Caremark Specialty Pharmacy Services

Hours are Monday through Friday, 6:30 a.m. – 8 p.m. CST

• Call CaremarkConnect^® at 1-800-237-2767 and identify yourself as a Wellmark Blue Cross and Blue Shield member. A representative will collect your information and contact your physician to obtain a new prescription;
  OR
• Ask your physician to fax a completed enrollment form  (30KB) to 1-800-323-2445. A CaremarkConnect representative will contact you for any information needed to complete the order.

How to Order Using Fairview Specialty Pharmacy

Hours are Monday through Friday, 8 a.m. – 7 p.m. CST

• Call Fairview Specialty Pharmacy at 1-877-522-1340 and identify yourself as a Wellmark Blue Cross and Blue Shield member. A representative will enroll you in the program and make arrangements to get your first order delivered;
  OR
• Ask your physician to call in a prescription at 1-877-522-1340 or fax a completed enrollment form  (170KB) to 1-877-586-8488. A Fairview representative will contact you to make arrangements for delivery.