Several of the network specialty pharmacies include a “drug list or formulary”. %PDF-1.5 %���� All Rights Reserved. %%EOF This program is part of Express Scripts SafeGuardRxWe use cookies and similar technologies to understand how you use our site and to create more valuable experiences for you.

Drug Name Daet s of Therapy Reason for Discontinuation ADDITIONAL NEEDS (list codes and units) Home Nursing Supplies Other *Note: Nursing and Supplies will be entered in Medical Benefit* DRUG CLAIM TO BE SUBMITTED BY Prescribing Physician Accredo Specialty Facility Other Dispensing Pharmacy: Drug Claim to Be Submitted Patient referral authorization form Providers should submit referrals and authorizations through provider self-service by logging into or registering for an account Humana Military only accepts a faxed form if the provider is unable to submit them electronically. Only a All Rights Reserved.

h�bbd```b``: "A$�ɚ����$��&��ɋ`2L��H΃ ��lN����``�x $�?����w5X #E��_ Z"< Posted June 13, 2018. Certain specialty pharmacy medications are complex to administer and often entail frequent dosage adjustments, severe side effects, and special storage or handling instructions. They may be covered as either a pharmacy or medical benefit.

Specialty pharmacies are not retail pharmacy providers and much of what they offer is a part of the TRICARE medical benefit, not pharmacy benefit. Print Select Specialty Medications Transferred to Accredo Specialty Pharmacy June 1, 2018. By using this site (i.e., by clicking on the site), you consent to our use of cookies and similar technologies, as described in our Patients diagnosed with multiple sclerosis (MS) face unpredictable and increasingly debilitating symptoms. endstream endobj startxref 47 0 obj <>/Filter/FlateDecode/ID[<29BB8EEDD42B1A0072344D007D821E2D><2216F3ADEA86E94BAF262E461955DB27>]/Index[28 33]/Info 27 0 R/Length 99/Prev 163116/Root 29 0 R/Size 61/Type/XRef/W[1 3 1]>>stream Includes information on common retail centers and convenience clinics for specialty drugs.

Pharmacy Practice They may have a narrow therapeutic range and require periodic lab or diagnostic testing.

Prior Authorization of Benefits is not the practice of medicine or a substitute for the independent medical judgment of a treating physician. Industry Updates Pricing, Affordability & Value We looked at fill data for 17 different specialty orphan drugs, including: Cystic fibrosis; Generalized lipodystrophy h�b``�f``�``f`��a�c@ >�+�f�@��h)��� x����� �5E0�3�PaSh)�z�����J�W�=`����h�rb>/S�) ��]@,��T��g40 �}. Fax completed form to 1-877-328-9799 If this an URGENT request, please call 1-800-753-2851 .

**Medication orders can be placed with Accredo via E-prescribe - Accredo (1640 Century Center Pkwy, Memphis, TN 38134-8822 | NCPDP 4436920), Fax 888.302.1028, or Verbal 866.759.1557 Facility and/or doctor dispensing and administering medication: The Specialty Pharmacy Program supports the health care provider/patient relationship to help better manage rare and complex chronic conditions. © Accredo Health Group, Inc., An Express Scripts Company. Some products may be dispensed from Accredo and/or Freedom Fertility Pharmacy Disclaimer: Note that additional generic versions of listed medications may be available. 60 0 obj <>stream 28 0 obj <> endobj Subscribe to our newsletter for regular updates and the latest thinking from our experts. Accredo, AllianceRx Walgreens Prime, Medex BioCare and US Bioservices are East Region network specialty pharmacies. Express Scripts shares risk by reimbursing payers for the first three fills of preferred multiple sclerosis medications dispensed by our Accredo specialty pharmacy if a patient discontinues the medication within the first three months. Accredo is well equipped to handle the special requirements for these prescription drugs, but delivering medication is just one part of what we do to help our patients. Nonadherence can make these adverse events more costly and dangerous. Accredo pharmacists offer condition-focused clinical expertise and drug-specific knowledge Interventions and clinical protocols Because of our deep specialization, we have deployed more than 350 proprietary clinical protocols, which help predict potential …

hޤV�n�8�>&Xd)�)�0`;ujl���)`�A�YG�2$���gD9��m��B fH�p.<3��,a:e�[f&͌`҂Hp���3����D"3� �1wL��3�hʤQ��{LJeQV�m�4�-YI��^��j�&M����D�ݸ1*7 ֦SAf�V���2YG���mU.&������������*"��כ�‚�Ӻ=b��L��UL�xZ�7���p��aɴ��9onٷ���k&���M'�,�3�|�ۆ��x����t��"l���Ǘ�i��f�!_=4Hi���/��|Td���6#�A�4���i����3%�����l���a�����������N�]�4Uh�SY���]��Ni�4n�"_�7�"��O���¼��(�\�ۦ��׃Xڸ)�$�UJ®�Q�ͷ�r[-C�oVg�%�ϛ�9�Vy�T������|��aM���t´�_^g[�W�w1��n�)������* P �%~7S3)���U�� -3���̴�8��7�r������l�l$|Z���!��w�l�"���IڡB�XυJ�0A-&N��K��o���Š,��A����o�����t����Ο磼���CV�C�NB8����1L���.4_6�L�������AU��2�,��4a �F��s/+/�s�9��$ڢJ��蒸 j�^�9���-����ڣn�qJE�/HWB If you have any ior authorization team at the number listed on the top of this form. endstream endobj 29 0 obj <> endobj 30 0 obj <> endobj 31 0 obj <>stream

These medications are often very costly, involve storage at precise temperatures, and have complex instructions. Health Care Trend: Personalized Health Care Keeps the Patient Front and Center Specialty medications are different from regular prescription drugs.

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