Name of Manual - Blue Cross and Blue Shield of Minnesota

Drug Programs
Coding Policies and Guidelines (Pharmacy Services)
Specialty Drugs Specialty drugs are used to treat serious or chronic medical
conditions such as multiple sclerosis, hemophilia, hepatitis and
rheumatoid arthritis. They are typically injectable and can be selfadministered
by a patient or family member.
When a member receives their drugs from a specialty network
supplier, they are assured quality while saving money and time.
Contact provider services to verify if the member’s plan has the
specialty drug program as an available benefit.
Quality
The specialty network suppliers are accredited by the Joint
Commission on Accreditation of Healthcare Organizations, which
ensures the highest standard of pharmacy care. They’re experts in
supplying drugs and services to patients with complex health
conditions.
Convenience
The member can order their specialty drug each month from a
specialty drug supplier, pay their health plan’s applicable innetwork
copay or coinsurance amount and eliminate the expense
of driving or having to find transportation to a pharmacy to pick up
their drugs.
Specialty Drug List
The Specialty Drug List is available on bluecrossmn.com.
Other prescription drugs
Only select injectable and oral drugs are available through the
specialty drug program. Members will need to continue to get their
other prescription drugs through their local pharmacy.
More information
Additional information is available on bluecrossmn.com in
regards to the specialty drug network.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (08/09/11)
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