Specialty pharmacy
Specialty pharmacies fill prescriptions for medications that usually require close monitoring and may require special handling, including refrigeration.
Offering convenience and support
You can have your specialty medications delivered to your door. Guidance on how to safely take your medication is included.
If you have injectable medication, necessary supplies are included at no extra charge (for example, needles, syringes, swabs, and disposable containers).
Retail pharmacy exceptions
Members enrolled in a Medicare Advantage Prescription Drug Plan, Medicare Prescription Drug Plan, and some Commercial plans may have prior authorized, specialty medications filled at any in-network retail pharmacy. Check your Evidence of Coverage (EOC) or Certificate of Insurance (COI) for your specific benefit information or call Customer Service at the number on your BlueShield member ID card.
How to use a specialty pharmacy
Start by getting a prior authorization for your specialty medications. Then ask your physician to call or fax your prescription to one of these network specialty pharmacies:
CVS Specialty®
Filling this list of specialty drugs
Phone: (800) 237-2767
Fax: (800) 323-2445
Go to CVS Specialty
Lumicera Health Services
Only filling generic abiraterone 250 mg
Phone: (855) 847-3553
Fax: (855) 847-3558
Go to Lumucera Health Services
Y0118_24_623A_C 09202024
H2819_24_623A_C Accepted 09302024
Page last updated: 10/01/2024
This information is not a complete description of benefits.
1 Specialty medications and opioids are limited to a 30-day supply.
The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
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For Blue Shield Medicare Advantage Plans: Blue Shield of California is an HMO, HMO D-SNP, PPO and a PDP plan with a Medicare contract and a contract with the California State Medicaid Program. Enrollment in Blue Shield of California depends on contract renewal.
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