Specialty Drug Management

The Specialty Drug Management program provides and manages drug therapies for the treatment of chronic and complex conditions, such as rheumatoid arthritis, cystic fibrosis, hemophilia, multiple sclerosis and transplants. These therapies account for less than 2 percent of prescription drug claims, but can cost up to $500,000 or more per year.

Our program adheres to nationally recognized, evidence-based standards to help benefit plan members achieve optimal outcomes for condition management. The Specialty Drug services offer efficient, timely and cost-effective distribution of drugs through mail service delivery. Comprehensive tools to optimize therapy and manage the cost of specialty drugs include prior authorization, step therapy, managed specialty formulary strategies and lower cost infusion site options.