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Specialty Preferred Products Program

Specialty Drugs are used to treat long-term illnesses. Such as; Ankylosing Spondylitis, Crohn’s Disease, Rheumatoid Arthritis, and Multiple Sclerosis. These conditions require long-term monitoring and special testing during treatment. Pharmacists at CVS Specialty can work with you and your doctor to ensure proper dosing and testing to achieve maximum effectiveness of the drug while minimizing side effects. You can enroll in CVS Specialty by calling 1-800-237-2767 or your doctor can E-Prescribe. All specialty drugs are limited to a 30-day supply. See the link below.

Specialty Preferred Product Program Drug List

The Funds also has a Generics First Specialty Preferred Products Program in select specialty drug classes. These classes include Cystic Fibrosis, Hepatitis C, Oncology, and Pulmonary Arterial Hypertension (PAH). To see the complete list of specialty drugs covered under the program, click the Specialty Preferred Products Program link below.

Generics First Specialty Preferred Product Program Drug List​​​​

The Funds recognizes that there may be beneficiaries for whom the preferred medications do not work, or are otherwise not clinically appropriate, and for whom the non-preferred drug is the best option. In those cases, non-preferred drugs may be requested through the prior authorization process. When a prior authorization is needed, please contact the CVS Caremark® Specialty Guideline Management Department toll-free at 1-866-814-5506 to obtain approval. See link below for Prior Authorization form.

If you would like to fax a new prescription directly to or have any further questions regarding CVS Caremark® Specialty Pharmacy, you may call them toll-free at 1-866-814-5506.

CVS Specialty Pharmacy
NCPDP ID 1466033
800 Biermann Court
Mount Prospect, IL 60056

Prior Authorization Form