Transcription of Specialty Pharmacy Drug List - Magellan Rx Management
1 Our Specialty Pharmacy provides patients with comprehensive support services and coordinated delivery related to high-cost oral, inhaled or injectable Specialty medications, used to treat complex conditions. We are your single source for high-touch patient care Management to control side effects, patient support and education to ensure compliance or continued treatment, and specialized handling and distribution of medications directly to the patient or care provider. Specialty medications may be covered under either the medical or Pharmacy benefit. Please consult your insurance documentation to determine which benefit covers these medications. We offer a broad Specialty medication list containing nearly 500 drugs, covering 42 therapeutic categories and Specialty disease states. This list is updated with new information each of Specialty Medications Specialty medications are defined as high-cost oral or injectable medications used to treat complex chronic conditions.
2 These are highly complex medications, typically biology-based, that structurally mimic compounds found within the body. High-touch patient care Management is usually required to control side effects and ensure compliance. Specialized handling and distribution are also necessary to ensure appropriate medication administration. Medications must have at least one of the following characteristics in order to be classified as a Specialty medication by Magellan Rx Pharmacy Drug List 2016 Magellan Rx Management . All rights expressly publication may not be reproduced in whole or part by any means whatsoever without express written permission of the copyright owner. MRX0367_0116 AnemiaARANESP PA dexferrum EPOGEN PAFERAHEME ferrlecitMIRCERA PAOMONTYS PROCRIT PAsodium ferric gluconateVENOFERA nticoagulantsADEMPAS PAARIXTRA enoxaparinIPRIVASK fondaparinuxFRAGMININNOHEPLOVENOXA ntilipemic AgentsKYNAMRO PAJUXTAPID PAPRALUENT PA, QLREPATHA PA.
3 QLTIKOSYNA sthmaXOLAIR PABirth ControlIMPLANONMIRENANEXPLANONPARAGARD T 380-ASKYLAC ancer/ChemotherapyABRAXANE PAADCETRIS PAadriamycinadrucilAFINITOR PAALIMTA PAALKERAN amifostineARRANONARZERRA PAAVASTIN PAazacitidineBELEODAQ PABEXXARBICNU bleomycin sulfateBOSULIF PABUSULFEXCAMPATH PACAMPTOSAR capecitabineCAPRELSA PAcarboplatinCERUBIDINE cisplatincladribineCLOLARCOMETRIQ PACOSMEGEN cyclophosphamideCYRAMZA PAcytarabinedacarbazineDACOGENDACTINOMYC IN daunorubicinDAUNOXOME decitabineDEPOCYT dexrazoxane PADOCEFREZ docetaxelDOXIL doxorubicin hclELLENCEELOXATINELSPAREMCYT epirubicinERBITUX PAERIVEDGE PAERWINAZE ETHYOLETOPOPHOS etoposideFARYDAK PAFASLODEXFIRMAGON PAfloxuridineFLUDARA fludarabinefluorouracilFOLOTYN PAFUSILEVGABLOFENGAZYVA PAgemcitabineGEMZARGILOTRIF PAGLEEVEC* PA HALAVEN PAHERCEPTIN PAHYCAMTIN PAIBRANCE PAICLUSIG PAIDAMYCIN PFSidarubicin hclIFEX ifosfamideIMBRUVICA PA INLYTA PAIRESSA PA, QLirinotecanISTODAX PAIXEMPRAJAKAFI PAJEVTANA PAKADCYLA PAKEYTRUDA PAKYPROLIS PALENVIMA PA, QLLEUCOVORIN CALCIUM INJLEUSTATINLYNPARZA PAlipodoxMARQIBO PAMATULANEMEKINIST PAmelphalanmercaptopurinemesnaMESNEX mitomycinmitoxantroneMOZOBIL PAMUSTARGENHigh Touch Medications that require temperature control or other special handling/shipping requirements ( , refrigerated or frozen shipping)
4 Medications that require ongoing drug Management by a pharmacist and/or physician specializing in treating the member s condition Medications that require focused, in-depth member education, compliance monitoring, side effect Management and, often, injection technique education Administered by a healthcare professional or in a healthcare setting Protein or protein-based molecular entities Preferred Specialty ProductHigh CostHigh-cost medications are typically priced at more than $1,000 per 30-day supply; including self-administered injectables, professionally-administered injectables/infusions, and oral medicationsHigh Complexity Biotechnology products Orphan or Ultra-Orphan drugs Medications that are included in a Specialty therapeutic drug class strategyGenerics: Lower case italic. For example, dexferrumBrands: All capital letters.
5 For example, HUMIRAQL: Quantity Limits apply under some benefits. Check your plan document for coverage details. PA: Prior Authorization needed under some benefits. Check your plan document for coverage details. MYLERANNAVELBINENEXAVAR PA, QL NILANDRON PA, QLNIPENTODOMZO PA, QLONCASPAROPDIVO PAoxaliplatinpaclitaxelpentostatinPERJET A PAPHOTOFRINPOMALYST PA, QLPROLEUKIN PAPROVENGE PAPURIXAN PAREVLIMID PA, QLRITUXAN PASIGNIFOR LAR PASPRYCEL PA, QLSTIVARGA PA, QLSUPPRELIN LASUTENT PA, QLSYLATRON PASYNRIBO PATABLOIDTAFINLAR PA, QLTARCEVA PA, QLTARGRETIN PATARGRETIN GEL TASIGNA PA, QLTAXOTERETEMODAR PA temozolomide PAteniposideTHALOMID PA, QLTHERACYSTHIOTEPATICE BCGtoposartopotecanTORISEL PA, QLTOTECT PATREANDA PAtretinoin PA, QL TRISENOX PATYKERB PA, QL UNITUXIN PAUVADEX VALCHLOR PA, QLVALSTAR VANTASVECTIBIX PAVELCADE PAVESANOIDVIDAZA vinblastine sulfatevincasar pfsvincristine sulfatevinorelbine tartrateVORAXAZEVOTRIENT PA, QLVUMONXALKORI PA, QLXELODA XGEVA PA.
6 QLXOFIGO PAXTANDI PA, QLYERVOY PAZALTRAP PAZANOSARZELBORAF PA, QLZEVALINZINECARD PAZOLADEX PAZOLINZA PA, QLZYDELIG PA, QL ZYKADIA PA, QLZYTIGA PACrohn s DiseaseCIMZIA PA, QL HUMIRA PA, QLREMICADE PATYSABRI PACystic FibrosisBETHKIS PACAYSTONESBRIETA PAKALYDECO PA, QLKITABIS PAOFEV PA, QLPULMOZYME PA, QLTOBITOBI PODHALER tobramycin nebu solnCytomegalovirus VaccinesCYTOGAMD ystoniaBOTOX PADYSPORT PAMYOBLOC PAXIAFLEX zoledronicEndocrine and Metabolic AgentsACTHREL PAAVEED PAKORLYM PALYSODRENMYALEPT PAEGRIFTA PA, QLoctreotide PASAMSCA PA, QLSANDOSTATIN PASANDOSTATIN LAR PASENSIPARSIGNIFOR PASOMATULINE PASOMAVERT PASYNAREL TESTOPEL PATHYROGENE nzyme Replacement (Alpha 1)ADAGENALDURAZYME PAARALAST PAELAPRASE PAELELYSO PAGLASSIA PAFABRAZYME PAKUVAN PA, QL LUMIZYME PAMYOZYME PANAGLAZYME PANATPARA PAORFADIN PAORKAMBI PA, QLPROCYSBIPROLASTIN PASOLESTAVIMIZIMZEMAIRA PAGastrointestinal AgentsCHOLBAM PA, QLGATTEX PASUCRAIDG aucher DiseaseCERDELGA PA, QLCEREZYME PAVPRIV PAZAVESCA PAGrowth Hormone and Related DisordersGENOTROPIN PAHUMATROPE PAINCRELEX PANORDITROPIN PANOVOEIGHT PANUTROPIN PANUTROPIN AQ PAOMNITROPE PASAIZEN PASEROSTIM PA, QLSOMAVERTTECHNIVIE PA, QLTEV-TROPIN PAZOMACTON PAZORBTIVE PA.
7 QLHemophilia and Related Bleeding DisordersACTIVASEADVATEALPHANATEALPHANIN E S/DALPROLIX PAATRYN PABEBULIN VHBENEFIXBERINERT PACINRYZE PACORIFACTCYKLOKAPRONELOCTATE PAFEIBA NFFIRAZYR PAHELIXATE FSHEMOFIL-MHUMATE-PIXINITY PAKALBITOR PAKOATE-DVIKOGENATE FSLYSTEDA QLMONOCLATE-P MONONINENOVOSEVEN RTOBIZURPROFILNINERECOMBINATERECOTHROMRI ASTAPRIXUBISRUCONEST PASTIMATE THROMBATE III tranexamic acidTRETTEN PAWILATEXYNTHA Hepatitis Badefovir dipivoxilBARACLUDE QLentecavir QLEPIVIR HBV lamivudine tabNABI-HB THROMBATE III HEPAGAM B HYPERHEP B S-DHEPSERA TYZEKAH epatitis CACTIMMUNEALFERON NCOPEGUS PADAKLINZA PA, QLHARVONI PA, QLINCIVEK PA, QL INFERGEN PAINTRON A PAmoderiba PAOLYSIO PA, QLPEG INTRON PAPEGASYS PAREBETOL PAribatab PAribapak tablets kit PAribasphere PAribavirin PASOVALDI PA, QLTECHNIVIE PA, QLVIEKIRA PA, QLVICTRELIS PA, QLHIV/AIDS abacavirabacavir sulfateabacavir sulfate/lamivudine/ zidovudineAPTIVUS ATRIPLA COMBIVIRCOMPLERA CRIXIVAN didanosineEDURANT EMTRIVA EPIVIR 2016 Magellan Rx Management .
8 All rights expressly publication may not be reproduced in whole or part by any means whatsoever without express written permission of the copyright owner. MRX0367_0116 EPZICOM FUZEON QLINTELENCE INVIRASE ISENTRESS KALETRA lamivudinelamivudine/ zidovudineLEXIVA nevirapineNORVIRPREZISTA RESCRIPTORRETROVIRREYATAZ SELZENTRY PAstavudineSTRIBILDSUSTIVA TIVICAYTRIUMEQ PATRIZIVIRTRUVADA TYBOST PAVIDEX VIDEX ECVIRACEPT VIRAMUNEVIRAMUNE XR VIREAD VITEKTA PA, QLZERITZIAGEN zidovudineHormone TherapyELIGARD PAFIRMAGON PAleuprolide PALUPANETA PALUPRONLUPRON DEPOT PALUPRON DEPOT-PED TRELSTAR DEPOTTRELSTAR LAHormone Therapy CorticotropinACTHAR PAHunter s SyndromeELAPRASE PAXENAZINE PAHyperparathyroidismdoxercalciferolHECT OROLZEMPLARI mmune DeficiencyBIVIGAM PACARIMUNE NF PAFLEBOGAMMA PAGAMASTAN S/D PAGAMMAGARD PAGAMMAGARD SD PAGAMMAKED PAGAMMAPLEX PAGAMUNEX PAHIZENTRA PAHYPERRAB S/DHYPERRHO S/DHYPERTET S/DHYQVIA PAIMOGAM RABIESMICRHOGAM PLOCTAGAM PAPRIVIGEN PASOLIRISI mmune Globulins ObstetricsRHOGAM PLUSRHOPHYLACWINRHO SDFI mmunosuppressant TransplantASTAGRAFATGAMCELLCEPT* CELLCEPT IVcyclosporineENVARSUS XR PA.
9 QLgengrafhecoriamycophenolateMYFORTICNEO RALNULOJIX PAPROGRAFRAPAMUNESANDIMMUNE sirolimus tabtacrolimusZORTRESS PAImmunostimulantMOZOBIL PA InfertilityBRAVELLE PACETROTIDE PACHORIONIC GONADOTROPIN PABENLYSTA PAENDOMETRIN VAGINAL GANIRELIXGONAL-F PAGONAL-F RFF PAMAKENA PAMENOPUR PAnovarel PAOVIDREL PApregnyl PAREPRONEX PAIron OverloadEXJADEFERRIPROX PAMiscellaneousAMYVID BENLYSTA PACARBAGLU cidofovir CRESEMBA INJ PACYSTAGONCYTOVENEELITEKENTYVIO PA HETLIOZ PA, QL JADENU PAKEPIVANCEKRYSTEXXA PA, QLNORTHERA PA, QL ONFI PASABRIL PA, QLSYLVANT PAVIVITROL PAXIAFLEXM ultiple SclerosisAMPYRA PA, QLAUBAGIO PA, QLAVONEX PA, QLBETASERON PA, QLCOPAXONE PA, QLEXTAVIA PA, QLGILENYA PA, QLLEMTRADA PAPLEGRIDY PA, QLREBIF PA, QLTECFIDERA PA, QLTYSABRI PA 2016 Magellan Rx Management .
10 All rights expressly publication may not be reproduced in whole or part by any means whatsoever without express written permission of the copyright owner. MRX0367_0116 NarcolepsyXYREM PA, QLNauseaAKYNZEO PAALOXIANZEMET QLCESAMET PAEMEND QLgranisetronONDANSETRON HCL INJSANCUSCO QLZOFRAN INJN euromuscular Blocking AgentXEOMIN PANeutropeniaGRANIX PALEUKINE PANEULASTA PANEUPOGEN PAZARXIO PA, QLOphthalmicEYLEAJETREA PALUCENTISMACUGENOZURDEXRETISERTVISUDYNE O steoarthritisEUFLEXXA PAGEL-ONE PAHYALGAN PAMONOVISC PAORTHOVISC PASUPARTZ PASYNVISC PASYNVISC-ONE PAOsteoporosis and Bone DisordersBONIVA INJFORTEO PAibandronateMIACALCIN pamidronate disodiumPROLIA PA, QLRECLAST zoledronic acidZOMETAPain ManagementLIORESAL INTPRIALTQUTENZAP arkinson DiseaseAPOKYN PAPsoriasisCOSENTYX PAENBREL PA, QLHUMIRA PA, QLREMICADE PARASUVO PA,QL STELARA PA, QLPulmonary HypertensionADCIRCA PA, QLepoprostenol PAFLOLAN PALETAIRIS PA, QLOPSUMIT PA.
