Adult CDPHP members can get no-cost flu shots at many CDPHP-participating pharmacies, including all CVS and Price Chopper pharmacy locations.
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.
Overview of Specialty Drugs Supplied by Caremark
[ Please note: 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. ]
Specialty pharmaceuticals are used in the management of complex chronic or genetic conditions and certain catastrophic diseases such as rheumatoid arthritis, multiple sclerosis, growth hormone deficiency or hepatitis C. They are often injectable medications, but they may also include oral agents. CDPHP has chosen CVS Caremark Specialty Pharmacy Services to dispense certain high-cost injectables and biotech drugs for its members. Eligible members will need to register and will receive a 30-day supply of medications and additional supplies needed to administer the medications. Medications can be sent to a member’s home; an alternate address selected by the member, a provider’s office or picked up at most local CVS pharmacies.
Getting started with CVS Caremark Specialty Pharmacy Services is easy. There are three different options for contacting them: by phone toll-free at 1-800-237-2767, by fax toll-free at 1-800-323-2445 or online at http://www.caremark.com. CVS Caremark provides side-effect counseling, condition-specific materials, refill reminder calls, and access to health care professionals for emergency consultation 24 hours a day, seven days a week.
CVS Caremark also provides Patient Resource Centers online at http://www.caremark.com. CDPHP members can access the latest news, helpful tips, interactive tools, drug information, safety alerts, support groups, links to communities, as well as other useful resources.
For a complete list of specialty medications and answers to questions regarding Caremark Specialty Pharmacy services, please consult your prescription drug formulary found on this web site, call the toll-free Caremark Specialty Pharmacy Service’s telephone number above or the Caremark member service phone number found on your CDPHP identification card.
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