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CDPHP works closely with Caremark® Specialty Pharmacy Services to supply certain high-cost biotech and injectable drugs to our members who need them.
Caremark Specialty Pharmacy ensures convenient, express delivery and provides the supplies needed to administer the drug. Their health care professionals are available around the clock to provide telephone guidance and support. As an added convenience, most specialty medications can be picked up at CVS/Pharmacy locations.
To transfer a prescription to Caremark Specialty Pharmacy, call 1-800-237-2767.
Growth Hormone/Growth Hormone related drugs
(which are being obtained from a pharmacy setting)
HCG (Novarel, Pregnyl)*
Inflammatory Bowel Disease
Oral Oncology Drugs
Rheumatoid and Osteo Arthritis & Osteoporosis
H.P. Acthar Gel*
Updated July 2012
(Please check back for updates.)
* These drugs (which require prior authorization and have clinical programs in place) must be obtained from Caremark Specialty Pharmacy Services in order to be covered for members.
** These drugs (which require prior authorization and have clinical programs in place) must be obtained from Caremark Specialty Pharmacy Services in order to be covered for members when the drug is to be obtained at the pharmacy setting.
A provision of the New York State 2013-2014 budget allows for the following changes to the pharmacy benefit for Managed Medicaid members:
Managed Medicaid/FHP members, or providers on behalf of members, may contact CDPHP and request to obtain specialty drugs at a retail pharmacy, rather than Caremark Specialty Pharmacy. CDPHP will facilitate the process by sending the appropriate paperwork to the network pharmacy. The network retail pharmacy must accept the price comparable to that of the specialty pharmacy, as well as sign a member/drug-specific contract amendment. Contract amendments refer only to price, not terms and conditions, and are not required for each refill. For further information, please call the CDPHP Pharmacy Department at (518) 641-3784.
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