Specialty Drugs

Specialty drugs are prescription medications that require special handling, administration or monitoring. These drugs are used to treat complex, chronic and often costlyconditions, such as multiple sclerosis, rheumatoid arthritis, hepatitis C, and hemophilia.

 

To learn what drugs are considered specialty drugs:

  • Go to the Wellmark Drug List
  • Choose your drug list
  • Search by drug name or by category "Specialty Drug"

Specialty drug coverage varies by plan.  For more information:

  • 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: Hy-Vee Pharmacy Solutions (HPS) and CVS Caremark 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 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;
    OR
  • Ask your physician to call in a prescription at 1-877-Rx-HYVEE (1-877-794-9833) or fax a completed enrollment form pdf (188KB) to 1-402-861-4941. A Hy-Vee Pharmacy Solutions representative will contact you to make arrangements for delivery.

How to Order Using CVS Caremark Specialty Pharmacy Services

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

  • Call CVS Caremark at 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 pdf (30KB) to 1-800-323-2445. A representative will contact you for any information needed to complete the order.
 
 
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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota.
 
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