Specialty Medications
Specialty medications are typically bio-engineered drugs that have specific shipping and handling requirements or are required by the manufacturer to be dispensed by a specific facility. PEHP has partnered with Accredo Health Group, a division of Medco Health, to assist us in dispensing specialty drugs for our members. Receiving your specialty drug from Accredo will allow you to receive your specialty medication at a lower cost (Benefit design may differ from plan to plan. Please refer to your benefit summary for you actual specialty benefit.) Also, PEHP may require that select specialty medications be obtained from Accredo in order to be covered.
Accredo will coordinate with a member or physician to provide delivery to either a member's home or physician's office. Free medical supplies such as syringes and sharp containers are also available for those medications that require them.
Specialty medications can require pre-authorization. Please check the pre-authorization link on this site or call PEHP Customer Service at (801) 366-7555 to see if your medication requires prior authorization.
It is easy to get started using Accredo. You can choose one of the following options to help ensure an uninterrupted, covered supply of the specialty medications that you may need:
| Step 1: |
Determine if your medication requires prior authorization. If the medication requires prior authorization, please
contact your doctor so that he or she can obtain one. (Refer to the Pre-authorization section for details.) |
| Step 2: |
If required, once your pre-authorization is approved, call Accredo at
1-800-501-7260 between 8:00 a.m. and 8:00 p.m., Eastern Time, Monday through
Friday. |
| Step 3: |
Accredo will contact your doctor and make all the arrangements needed to help ensure a smooth transaction so you can recieve the medications you need. |
| Step 4: |
Accredo will call you back to arrange for expedited delivery of your medications at a time that is convenient for you. |
| |
| Step 1: |
Provide your doctor with your member ID number (shown on your prescription drug ID card)
and ask him or her to call 1-800-987-4904. Accredo will work with your doctor to make the
transition smooth for you. |
| Step 2: |
Accredo will call you or your physician back to arrange for expedited delivery of your medication. |
Below is a list of medications available thorugh Accredo. An asteric (*) indicates that your medication must be
dispensed through Accredo in order to be covered by PEHP.
| Drug Name |
| A.P.L.* |
Fertinex* |
Lupron |
Remodulin* |
| Abraxane |
Flebogamma* |
Luveris* |
Repronex* |
| Actimmune |
Flolan* |
Menopur* |
Revatio* |
| Adagen |
Follistim* |
Mitoxantrone |
Revlimid* |
| Advate* |
Forteo* |
Monarc-M* |
Ribasphere* |
| Aldurazyme* |
Fragmin |
Monoclate P* |
Ribavirin* |
| Alferon-N* |
Fuzeon* |
Mononine* |
Rituxan |
| Alphanate* |
Gamastan |
Morphine PCA |
Roferon A* |
| Alphanine SD* |
Gamimune |
Myozyme* |
Saizen* |
| Amevive* |
Gammagard Liquid* |
Naglazyme* |
Sandostatin* |
| Anzemet |
Gammagard* |
Neulasta |
Sensipar* |
| Apokyn* |
Gammar* |
Neumega |
Serostim* |
| Aralast* |
Gamunex* |
Neupogen |
Somavert* |
| Aranesp |
Ganirelix Acetate* |
Nexavar* |
Sporanox |
| Arcalyst* |
Genotropin* |
Norditropin* |
Sprycel* |
| Arixtra* |
Geref |
Novantrone |
Stimate* |
| Arranon |
Gleevec* |
Novarel* |
Supartz |
| Avastin |
Gonal-F* |
Novoseven* |
Sutent* |
| Avonex* |
Granisetron INJ |
Nutropin* |
Synagis* |
| Baygam |
Helixate* |
Octagam* |
Synvisc |
| Bayrho-D |
Hemofil M* |
Octreotide Acetate* |
Tarceva* |
| Bebulin* |
Hepagam B |
Omnitrope* |
Tasigna* |
| Benefix* |
Herceptin |
Ondansetron INJ |
Temodar* |
| Betaseron* |
Humate-P* |
Orencia |
Testopel |
| Bicillin |
Humatrope* |
Orfadin* |
Tev-Tropin* |
| Bravelle* |
Humira* |
Orthovisc |
Thalomid* |
| Carimune* |
Hyalgan |
Ovidrel* |
Tobi* |
| Cerezyme* |
Hyate* |
Panglobulin* |
Tracleer* |
| Cetrotide* |
Hycamptin* |
Pegasys* |
Treanda* |
| Chorex* |
Immune Globulin* |
Peg-Intron* |
Trelstar |
| Cimzia* |
Increlex* |
Polygam* |
Tykerb* |
| Copaxone* |
Infergen* |
Pregnyl* |
Tysabri |
| Copegus* |
Innohep* |
Procrit |
Vectibix |
| Cytogam |
Intron A |
Profasi HP* |
Velcade |
| Cytovene |
Iressa* |
Profilnine* |
Venoglobulin* |
| D.H.E. |
Iveegam* |
Proleukin* |
Ventavis* |
| Dacogen* |
Ixempra* |
Proleukin* |
Viadur |
| Demerol PCA |
Kineret* |
Proplex* |
Vidaza |
| Elaprase* |
Koate* |
Protropin* |
Vivaglobin* |
| Enbrel* |
Kogenate* |
Pulmozyme* |
Vivitrol |
| Epogen |
Kuvan* |
Raptiva* |
Xeloda* |
| Epoprostenol* |
Kytril INJ |
Rebetol* |
Xenazine* |
| Erbitux |
Letairis* |
Rebetron* |
Xolair* |
| Euflexxa |
Leukine |
Rebif* |
Xyntha* |
| Exjade* |
Leuprolide |
Recombinate* |
Xyrem |
| Fabrazyme |
Lovenox |
Refacto* |
Zemaira* |
| Feiba |
Lucentis |
Remicade |
Zoladex* |
|
|
|
Zorbitive* |
|