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:
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 Hy-Vee Pharmacy Solutions (HPS). 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;
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 Hy-Vee Pharmacy Solutions
Hours are Monday through Friday, 8 a.m. – 5 p.m. CST
Call Hy-Vee Pharmacy Solutions (HPS) at 1-877-794-9833 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;
Ask your physician to call in a prescription at 1-877-Rx-HYVEE (1-877-794-9833) or fax a completed enrollment form (188KB) to 1-402-861-4941. A Hy-Vee Pharmacy Solutions representative will contact you to make arrangements for delivery.