Medical specialty drug resources

In support of our mission to provide access to quality, affordable care for our members, Blue Shield has adopted solutions that partner with our providers to meet our member’s health care needs. The following resources are applicable for drugs covered under the medical benefit, including injectables and office-administered medications.

Medication drop ship program

California providers can order select medications via Blue Shield’s Medication Drop Ship Program. This is a voluntary program for commercial PPO network participants to use in filling medication orders for commercial PPO plan members, as an alternative to the traditional buy-and-bill model. Under this program, the physician’s office may order medications from a network Blue Shield specialty pharmacy on an individual patient basis. The pharmacy will deliver the medication to the physician’s office and bill Blue Shield directly for the cost of the medication. After the member receives treatment, the physician may bill Blue Shield for only the administration costs.

View medication and drop ship pharmacies list (PDF, 81 KB)
Watch a video about drop ship services (3 min)
Review frequently asked questions about drop ship services (PDF, 86 KB)
Download a job aid on drop ship medication services (PDF, 249 KB)

Home infusion

Home infusion provides a safe and more convenient option for members who receive certain infusion medications. If you are considering home infusion for a member, use this patient-friendly flyer to help guide your discussion on the benefits of home infusion.

Download a home infusion flyer for HMO and PPO plan members (PDF, 27 KB)

Site of service program

Blue Shield may direct commercial plan members with prescriptions for medication infusion therapy services in an outpatient hospital setting to qualified, home infusion, non-facility-owned infusion centers or physician offices.

View site of service medication list (PDF, 110 KB)

Preferred specialty drug list

Blue Shield has identified preferred drugs for certain therapeutic conditions, where clinically appropriate. This list includes preferences for biosimilar medication.

View preferred specialty drug list (PDF, 59 KB)