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.

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.

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. By using Caremark Specialty Pharmacy Services or Fairview Specialty Pharmacy 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
• 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

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 your Wellmark ID card.

How to Order Using Caremark Specialty Pharmacy Services

• 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; OR
• 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.

How to Order Using Fairview Specialty Pharmacy

• Call Fairview Specialty Pharmacy at 1-877-522-1340 and identify yourself as a Wellmark Blue Cross and Blue Shield member. Hours are Monday through Friday, 8 a.m. – 7 p.m. CST. 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 (pdf) to 1-877-586-8488. A Fairview representative will contact you to make arrangements for delivery.

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