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Which Specialty Pharmacy Does Aetna Use?

Which Specialty Pharmacy Does Aetna Use
CVS Health Specialty Pharmacy is the organization in charge of managing the Aetna Better Health Specialty Drug Program. The prescriptions for complicated medical illnesses, such as hepatitis C, multiple sclerosis, hemophilia, rheumatoid arthritis, and the majority of cancer treatments, can be filled at the specialty pharmacies, and the associated medications can be shipped.

  • Injectable, oral, and inhaled medications are all types of treatment that may be obtained through the specialist pharmacy at CVS.
  • Your organization’s members are eligible to receive care management services through the Specialty Drug Program, which include the following: Access to a licensed pharmacist around-the-clock, every day of the week, for disease-specific information and counseling provided by the CareTeamTM.

The CareTeam TM is comprised of clinical experts who perform tasks such as reviewing dose and medication regimens, recognizing injection problems, educating patients about potential adverse effects, and providing information that assists patients in managing their medical condition.

Care coordination Delivery of specialty drugs to your patient’s home and/or your office in temperature-controlled packaging with the required supplies, such as needles, syringes, and alcohol wipes. Alternatively, patients can be directed to drop off and pick up the majority of their prescriptions at any CVS Pharmacy location (including those inside Target stores) You can reach CVS Specialty Pharmacy at 1-800-237-2767 Monday through Friday between the hours of 7:30 a.m.

and 9 p.m. Eastern. You can get help from CVS Speciality Pharmacy in completing the prescription for your patient’s specialty medication. There are several specialized medications that are still subject to the Prior Authorization (PA) process. You are welcome to verify the information on PA requirements for the drugs that are listed below on the website of our health plan.

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Is CVS specialty pharmacy the same as accredo?

Medication that is taken by the patient herself or herself – Affected areas of business: Only for business use Accredo will take over as our primary supplier of self-administered speciality pharmaceuticals as of the first of April in the year 2020. (pharmacy benefit).

Accredo will take over the provision of these speciality pharmaceuticals for the majority of your BlueCross BlueShield patients, replacing CVS in this role. An initial prescription will be transmitted to Accredo for any BlueCross BlueShield patients that you have who take speciality drugs at home. After that, Accredo will get in touch with you to request a fresh prescription for your patients who are utilizing self-administered speciality drugs so that they can receive future refills.

If your patients use a specialty pharmacy that is not Accredo, the majority of the time, they will be responsible for paying the full cost of their medication. Only prescriptions that are ordered through Accredo’s mail-order service can be filled. Please visit bcbswny.com/specialtymedications in order to get a complete list of the specialty pharmaceuticals that are being moved over to Accredo Speciality.

What is a Accredo specialty pharmacy?

Who we are and what we do as your Independent Specialty Pharmacy – Accredo is a speciality pharmacy that caters to patients who suffer from a wide range of serious and long-term illnesses, such as cancer, hepatitis C, HIV, bleeding disorders, and multiple sclerosis.

We are aware of the complexities associated with both the diseases and the remedies. Patients can access pharmacists and nurses that have received specialized training in order to receive individualized treatment from our staff. We are able to provide an unrivaled level of knowledge and care because to Accredo’s 15 Therapeutic Resource Centers (TRC), each of which is dedicated to treating an unique medical issue.

Because our clinical paradigm is based around TRCs, we are able to give patients with the tools they require to effectively treat their disease, which may include the following: Telephone access to a network of 500 pharmacists with specialized training Access to 550 infusion nurses who have received specialized training and travel to patients’ homes to provide treatment in person.

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Patients undergoing anticancer treatment receiving nutritional supplementation Programs of therapy management designed to safeguard patients’ health and well-being Comprehensive care coordination among the medical benefit, the pharmaceutical benefit, and the physicians medication that is delivered in a timely and secure manner, together with instruction on how to properly administer the drug We are able to provide patients, clinicians, and payers an improved experience in the most important part of the pharmacy benefit because we have the necessary resources.

Please visit the Express Scripts Lab if you require any further information. Accreditations

Why is CVS specialty pharmacy calling?

It has been claimed that individuals are receiving phone calls from Walgreens or CVS Pharmacy indicating that they have a prescription available at a pharmacy that is not generally their regular drugstore. These calls are informing the residents that they have a prescription ready at the other pharmacy.

The person who calls you gives the impression that they work for Walgreens or CVS and says something along the lines of “We are attempting to verify information for an upcoming prescription.” In the event that the potential victim continues the conversation, the person on the other end will inquire about the potential victim’s driver’s license, social security number, insurance information, and other personal identifying details.

This is a con known as “phishing,” and its objective is to acquire personal information for the purposes of identity theft or insurance fraud. If you get a call like this, please refrain from providing any information and hang up immediately. Put the phone down and dial the number of your neighborhood pharmacy to inquire about any probable prescriptions. Which Specialty Pharmacy Does Aetna Use

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