Specialty Drugs

Specialty drugs are high-cost drugs used to treat complex or rare conditions including 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.

Specialty pharmacies specialize in the delivery and clinical management of specialty drugs. Caremark Specialty Pharmacy is Wellmark’s preferred specialty pharmacy provider. By using Caremark Specialty Pharmacy Services for your injectable, oral, and inhalant specialty drugs, you will also receive the following value-added services at no extra cost while at the same time, maximizing benefit dollars.

• Education and wellness programs that provide information, 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
• Timely, accurate, and free courier delivery of medications, often with next day delivery
• Supplies, including syringes, alcohol swabs, and sharps kits, if required

See your benefits certificate, coverage manual, or policy for more information about your specialty drug coverage or call Customer Service using the phone number on the front of your Wellmark ID card.

How to Order Using Caremark Specialty Pharmacy Services

Getting started with Caremark Specialty Pharmacy Services is easy with three simple options:

• Call CaremarkConnect^® at 1-800-237-2767 and identify yourself as a Wellmark Blue Cross and Blue Shield member. Hours are Monday through Friday, 6:30 a.m. – 8 p.m. CST. A representative will collect your information and contact your physician to obtain a new prescription.
• Ask your provider to fax a completed enrollment form (pdf) to 1-800-323-2445. A CaremarkConnect representative will then contact you to obtain any information needed to complete the ordering process.

Additional Services

Here are a few highlights of the advantages you can expect by using Caremark Specialty Pharmacy Services:

• Personal attention from a pharmacist-led care team that provides condition-specific education, medication administration instruction, and advice to help you manage your therapy
• Easy access to pharmacists and other health experts 24 hours a day, seven days a week
• Informative condition-specific materials

Wellmark Specialty Drug List

View or download the Wellmark Specialty Drug List (pdf) to learn what drugs are considered specialty drugs. Please 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.

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