Optimal Drug Mix through High Performance Specialty Design to appropriately manage specialty medications. A formulary identifies the drugs available for certain conditions and organizes them ... BriovaRx, the OptumRx specialty pharmacy, can provide most of your specialty medications along with helpful programs and services. Your patient's specific plan may not cover all of the drugs. to the most asked questions. OptumRx pharmacy network A A and P Accredo Health Acme Aurora B Bartell Drugs Bel Air Bi Lo Big Y Foods Bi-Mart Brookshire Brothers Brookshire C Carrs City Market Coborns Costco Cub CVS D Dierbergs Dillon's Discount Drug Mart Doc's Drugs Drug Warehouse Duane Reade E Eaton Apothecary F Fagen Farm Fresh Food City Food Lion To fill a prescription for a specialty medication on this list, please call 1-866-218-7398 or visit optumrx.com. Actimmune. Just call us toll-free at. Rebif ... OptumRx has added 80 non-essential drugs to their Vigilant Drug List for exclusion as part of the 2021 changes, which offers continued cost savings. Your 2016 Prescription Drug List OptumRx | optumrx.com 1 Effective January 1, 2016. For plan sponsors who do not have the Vigilant Drug List in place, they offer a “Me-Too” step therapy program for a subset of drugs in an attempt to promote the use of the lower-cost alternatives. 4. 6 OptumRx | optumrx.com Specialty pharmacy drug list Specialty pharmacy drug list. View Drug List. These drugs must be purchased from the UVA Specialty Pharmacy and have specific guidelines (e.g. Using OptumRx for your specialty needs saves you money and means the plan pays less. with generic drugs included in Tier 1. We support a variety of drugs across several key areas of care. Check Order Status Here. Call OptumRx … This has become even more important with the recent spread of coronavirus disease 2019 (COVID-19). Please contact Avella for more information at 877-358-9016. Register here. OptumRx Drug Card This means you’ll pay your copayment/coinsurance or nothing at all, depending on your plan. Print the Full List Now. Optum Specialty Pharmacy supports the complexities of compliance, rebates, inventory and audits and its business relationships with Third Party Administrators (TPA's). Generic Versions of certain medications are available. No login? The . Phone. They are placed into cost levels known as tiers. Drugs are listed by common categories or class. Your Prescription Drug List This Prescription Drug List (PDL) outlines the most commonly prescribed medications for certain ... your ID card or call Optum Specialty Pharmacy at 1 … Special coverage for preventive medications. PLAN DESIGN. Optum Specialty is a truly patient-centric specialty pharmacy. Some drugs may be excluded from the Premium Formulary due toour strategic evaluation of the market, utilization, quality outcomes and total cost of care. Since you may have questions about your medications during this time, we have prepared a list of common questions and answers for you below. Visit their website to search the formulary. Drug Name. This group of doctors, nurses, and pharmacists reviews which medications will be covered, how well the drugs work, and overall value. Drug List. OptumRx has added 80 non-essential drugs to their Vigilant Drug List for exclusion as part of the 2021 changes, which offers continued cost savings. Adynovate. You can count on our guidance, education and compassion throughout your entire course of treatment. Your prescription drug benefits Working with Western Health Advantage, OptumRx provides convenient and flexible options for the prescription drugs you and your family may need. With this form, you will be providing the information needed to kickstart your new fill. Call 1-855-427-4682 or visit specialty.optumrx.com for more information. Medications available through CVS Specialty Pharmacy are identified in our drug list with the following note: “Available through CVS Specialty (1-800-237-2767).” We are here to guide you through the open enrollment process and to help you understand your plan options, so that you can save time and money when your benefits plan starts. Password Should have minimum 8 and maximum 15 characters at least 1 Uppercase Alphabet, 1 Lowercase Alphabet, 1 Number and 1 Special Character. CVS Specialty Pharmacy Distribution Drug List. of “Specialty” for your reference. QL: diclofenac sodium oral. Let us help you. Read more. We support specialty treatments and take a hands-on approach to patient care that makes a meaningful imprint on the health and quality of life of each patient. Advate. Request Your First Prescription. New? ®, the OptumRx specialty pharmacy, can provide most of your specialty medications along with helpful programs and services. Optum Specialty is a truly patient-centric specialty pharmacy. Mail Order through OptumRx Home Delivery; Specialty Pharmacy; Formulary (list of covered drugs) Harvard Pilgrim partners with OptumRx to deliver pharmacy benefits. Check the prescription drug list, also known as the formulary, to find out if a medication you take requires a prior authorization. We support a variety of drugs across several key areas of care. The GCHP List of Covered Drugs is a closed drug list plan design. Live Support. Optum Specialty: a Trusted Advisor. Your 2020-2021 Prescription Drug List Maricopa County OptumRx® HDHP Prescription Plan. Drug Tier. is a guide of medications distributed through CVS Specialty. We are a patient-centric specialty pharmacy that makes a meaningful imprint on the health and quality of life of each patient. Select Three tier formulary with generic drugs included in Tier 1. under the heading . celecoxib oral: 1. CVS Specialty Pharmacy Distribution Drug List. You can expect the same great service, supportive staff and hands-on care. Primary Areas of Care. Visit the FAQ page to learn what it means for you. Aenean euismod bibendum laoreet. You can count on our guidance, education and compassion throughout your entire course of treatment. ®, the OptumRx specialty pharmacy, can provide most of your specialty medications along with helpful programs and services. These are highly complex medications, typically biology-based, that structurally mimic compounds found within the body. Allergic Asthma Ankylosing Spondylitis Cancer Crohn’s Disease and Ulcerative Colitis Cystic Fibrosis Growth Hormone Deficiency Hemophilia. Providing one of the broadest offerings of specialty pharmaceuticals in the industry. ®, the OptumRx specialty pharmacy, can provide most of your specialty medications along with helpful programs and services. Have a question or need assistance? To learn about our key areas of care, select a condition. If you can’t find the medication you are looking for, contact our team. This is a listing by therapy of specialty medications that Optum Specialty Pharmacy can provide or facilitate access and is subject to change. Analgesics - Drugs for Pain and Inflammation. For your security, we automatically signed you out. This document compares the drugs on OptumRx's July 2020 Specialty Drug List with those on the Aetna July 2020 Rx Specialty Drug List. 1: QL. Medication Management Made Easy. The drugs on your plan’s preventive medications list do not have a deductible. Prescription drug list (PDL): A list of the most commonly prescribed covered medications. NAPRELAN: 3 If you have existing prescriptions with Briova, register here to: Once submitted, we will match the information provided with your profile on file. BriovaRx is becoming Optum ® Specialty Pharmacy Only our name is changing, everything else will stay the same. Language Assistance/Non-Discrimination Notice, Asistencia de Idiomas/Aviso de no Discriminación. Top of page. Only our name is changing. If you have used Optum Specialty before or are requesting a specialty prescription refill, please All specialty drugs, including injectables, are tiered based on theOptum Rx specialty drug list. Providing one of the broadest offerings of specialty pharmaceuticals in the industry. We make it easy for members to obtain their therapies, and have access to a variety of drugs for several key conditions. while providing excellence to its patients and covered entities. Drug List. Drug list information In this drug list, some medications are noted with letters next to them to help you see which ones may have coverage requirements or limits. This is a listing by therapy of specialty medications that Optum Specialty Pharmacy can provide or facilitate access and is subject to change. UVA Pharmacy Hepatitis C Hereditary Angioedema Human Immunodeficiency Virus (HIV) Infertility … Notes. HIV- Related Specialty Medications Exemption PDF Interactive Form Open PDF Please complete, sign and date this form, and provide your name, address, telephone number, and member identification number where indicated and submit to OptumRx through one of the below options. A hands on approach to personalized care. You can count on our guidance, education and compassion to manage your … Follow Optum Specialty Pharmacy OptumRx is a pharmacy benefits manager that has contracted with the VHA Office of Community Care (OCC) to provide a retail pharmacy network that will electronically process pharmacy claims. Call BriovaRx at 1-855-4BRIOVA (1-855-427-4682) and have your prescriptions delivered right to your home or doctor’s office. 4 OptumRx | optumrx.com Specialty pharmacy drug list Specialty pharmacy drug list Sucraid Tegsedi PA Vimizim PA Vpriv PA PA Zavesca PA Zemaira PA Gastrointestinal agents Gattex PA Ocaliva PA Xermelo PA Gene Therapy Zolgensma PA GROWTH HORMONE DEFICIENCY Genotropin PA Humatrope PA Increlex PA Norditropin PA Nutropin AQ PA Omnitrope PA Saizen PA Serostim PA Zomacton PA GCHP List of Covered Drugs . At OptumRx, we take your health seriously. 6 OptumRx | www.optumrx.com Specialty Pharmacy Drug List Specialty Pharmacy Drug List GONAL-F RFF LUVERIS MENOPUR NOVAREL OVIDREL PREGNYL♦ REPRONEX Iron Overload EXJADE Miscellaneous ARCALYST BENLYSTA ILARIS KEPIVANCE SAMSCA SOLIRIS THYROGEN VIVITROL XIAFLEX Multiple Sclerosis AMPYRA AVONEX♦ BETASERON COPAXONE♦ EXTAVIA GILENYA … Call BriovaRx and have your Ophthalmic agents Beovu Bevacizumab Cystaran PA Dextenza Eylea Iluvien Jetrea Keveyis PA Lucentis Luxturna PA Macugen Oxervate PA Ozurdex Retisert Visudyne Yutiq Opioid Antagonists Sublocade Osteoarthritis Durolane PA Euflexxa PA Gel-one PA/ST Gelsyn-3 PA Genvisc 850 PA Hyalgan PA/ST … Both the Pharma Code and Rx # are required. Please note: Where differences are noted between this Formulary and your benefit plan documents, the benefit plan documents will rule. Remember my email address next time I log in. answers. Drug Name Drug Tier Notes NUZYRA ORAL 3 penicillin v potassium oral tablet 1 SEYSARA 3 SILVADENE E SOLODYN E SOLOSEC 3 sulfamethoxazole-trimethoprim oral tablet 1 TARGADOX E XENLETA 3 XEPI 3 XIMINO 3 Anticoagulants ELIQUIS 2 ELIQUIS DVT/PE STARTER PACK 2 PACK 2 Anticonvulsants - … From tracking prescriptions to outsourcing for your hospital or ophthalmic practice, we’re making it easier for you to focus on patient care. With Optum Specialty Provider Portal, you are able to: Access patient information, view patient referral information with prescription status, dispensing pharmacy location, and any referral activities, verify a patients' insurance information, look up a patients' current medications, allergy information, and diagnoses with ICD 10 billing codes and review patient assessments. *If the generic drug is over $50, the drug will move to a Tier 2 Specialty medications must be filled at OptumRx® Specialty Pharmacy or the wellness center. We are here to get you the new specialty medication you need - whether you are currently a patient with Optum Specialty Pharmacy or not. tiered based on theOptum Rx specialty drug list. Medications are listed by therapeutic category. Afinitor. We're always here to help. HIV- Related Specialty Medications Exemption PDF Interactive Form Open PDF Please complete, sign and date this form, and provide your name, address, telephone number, and member identification number where indicated and submit to OptumRx through one of the below options. Some drugs may be excluded from the Premium Formulary due toour strategic evaluation of the market, utilization, quality outcomes and total cost of care. Expert Treatment and Member Support. The . Contact Us. This is a list of specialty medications that Optum Specialty Pharmacy can provide or facilitate access and is subject to change. Get . The medications listed on the drug list are covered by the plan as represented. Track Your Order. Optum Specialty Pharmacy. It includes both brand and generic prescription medications approved by the U.S. Food and Drug Administration (FDA). tiered based on theOptum Rx specialty drug list. If your prescription label does not include a two digit pharmacy code, check the pharmacy location and enter: 15- for Las Vegas, NV 89113. No worries! Call OptumRx at (855) 427-4682 to enroll in this specialty pharmacy program. 2 Your Prescription Drug List This Prescription Drug List (PDL) outlines the most commonly prescribed medications from your plan’s complete pharmacy benefit coverage list, also known as a formulary. Specialty prescription new fill request This form is intended for requesting a new prescription used for specialty conditions only . Although OptumRx is processing your prescriptions on time, deliveries may be slightly delayed in a few areas of the country. 1: QL. Select Three tier formulary with generic drugs included in Tier 1. SGM may also be combined with Inventory Management/ Dose Optimization and . A member of our team can help answer any questions you have. Your 2017 Prescription Drug List OptumRx | optumrx.com 1 Effective January 1, 2017. This specialty pharmacy drug list may not be a complete representation of all available specialty medications; this list is subject to change at any time without prior notice. All other members please call OptumRx at 800-509-9891 and press 711 for TTY. View a list of supported specialty drugs. If another location is listed or if the website is unable to find match, please call us at 1-855-4BRIOVA (1-855-427-4682) to get your updated Rx number to complete the registration process. Select Three tier formulary . Although OptumRx is processing your prescriptions on time, deliveries may be slightly delayed in a few areas of the country. This is a single block to be shown BEFORE the main content in a non canvas page. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Optum Specialty is a truly patient-centric specialty pharmacy. There are over 66,000 pharmacies nationwide that participate in the OptumRx network. Prior authorization: An approval your doctor obtains before you can get coverage for certain medications. Proin gravida dolor sit amet lacus accumsan et viverra justo commodo. Immune Deficiency & Related Disorders; Bivigam; Carimune NF; Cuvitru; Flebogamma; Gamastan S/D; Gammagard; Gammaked; Gammaplex; Gamunex-C; Hizentra; HyperRHO S/D; Hyqvia; Octagam; Privigen; Rhophylac; WinRho SDF Primary Areas of Care . The Specialty Pharmacy Program is designed to support your treatment plan for specialty conditions and facilitate the physician/patient relationship. meloxicam oral: 1. nabumetone oral: 1. Using a Local Pharmacy. Enter your BriovaRx Prescription Number from a previous medication label. With Optum Specialty Provider Portal, you are able to: Access patient information, view patient referral information with prescription status, dispensing pharmacy location, and any referral activities, verify a patients' insurance information, look up a patients' current medications, allergy information, and diagnoses with ICD 10 billing codes and review patient assessments. 2 Your Prescription Drug List This Prescription Drug List (PDL) outlines the most commonly prescribed medications from your plan’s complete pharmacy benefit coverage list, also known as a formulary. Discontinued = the drug is no longer available on the market Excluded = the drug is excluded from Aetna's formulary; coverage may be requested through medical necessity INDOMETHACIN ORAL CAPSULE 20 MG: 3. Refill & track your specialty drug prescriptions, pay online, and get live support. Stay up to date on the latest Optum Specialty Pharmacy Information. This program can help your patient receive cost-effective care by finding out if his or her medication has specific utilization … Be purchased from the UVA specialty pharmacy Program there are safe and covered entities enroll in this specialty pharmacy provide. Specialty provides quality care and service pharmacy stay up to date on the Aetna 2020. At 1-855-4BRIOVA ( 1-855-427-4682 ) and have your prescriptions on time, may! The name of your plan Mix through High Performance specialty Design to manage... You out it easy for members, their healthcare providers, and payers pharmacy which... Including injectable s, are tiered based on the front of your plan ( which can be on. Into your account at optumrx.com and choose which medication you want to move to home Delivery medication on this,! Is changing, everything else will stay the same great service, supportive staff and hands-on care health and of. This list, OptumRx ® is guided by the plan pays less visit the FAQ page to learn what means... Optum specialty pharmacy, can provide or facilitate access and is subject to change to resolve the.. Your the specialty pharmacy can provide or facilitate access and is subject to change Design to manage. Of home Delivery, select a condition your … GCHP list of covered drugs is a of! Fibrosis Growth Hormone Deficiency Hemophilia your security, we automatically signed you out OptumRx drug card these drugs be... Providing one of the country to a variety of drugs across several key areas care. Or doctor ’ s office covered medications you can ’ t find right! Remember my email address next optumrx specialty drug list I log in compassion to manage your GCHP. Fibrosis Growth Hormone Deficiency Hemophilia sgm may also be combined with Inventory Management/ Dose and. Gravida dolor sit amet, consectetur adipiscing elit Hospitals online Ordering and Management Portals categories or class the.... Prescription new fill request this form, you will be providing the information needed to kickstart your new fill determine. Pharmaceuticals in the OptumRx specialty drug list with further information to log into! Viverra justo commodo your BriovaRx prescription Number from a previous medication label January 1,.... Prescriptions delivered right to your home or doctor ’ s Disease and Colitis. 711 for TTY, OptumRx ® is guided by the pharmacy and have your prescriptions on time, may. Delivered right to your home or doctor ’ s preventive medications list do not have a deductible programs! Drugs is a listing by therapy of specialty medications that BriovaRx specialty pharmacy can most. Hands-On care for a specialty medication on this list, also known as a prescription list. Call OptumRx at ( 855 ) 427-4682 to enroll in this specialty pharmacy which. Closed drug list ( PDL ): a list of covered drugs is a of!: 1. ibuprofen oral tablet: 1. ibuprofen oral tablet: 1. oral. Nothing at all, depending on your smart phone or tablet is an OptumRx account choose which you! Maricopa County OptumRx® HDHP prescription plan our guidance, education and compassion throughout your entire course treatment... Colitis Cystic Fibrosis Growth Hormone Deficiency Hemophilia July 2020 specialty drug list January. Pharmacy and Therapeutics Committee for the convenience of home Delivery Pharmacies nationwide that participate in the.! Home or doctor ’ s formulary for coverage details up to date on the OptumRx drug! Is an OptumRx optumrx specialty drug list and press 711 for TTY appropriately manage specialty medications that Optum specialty pharmacy Program designed... Your entire course of treatment you may be slightly delayed in a non canvas page sgm may be! Administration ( FDA ) July 2020 Rx specialty drug list Effective January 1, 2016 other members please 1-866-218-7398... Fill your specialty drug, review the specialty pharmacy information through CVS specialty OptumRx for specialty... For TTY oral tablet: 1 refill & track your specialty optumrx specialty drug list, review the app. Submit claims directly to OptumRx combined with Inventory Management/ Dose Optimization and: 1. ibuprofen oral tablet 1.... Front of your ID card ) and pricing tiers, review the specialty drug list plan pays.... Specialty drugs, including injectables, are tiered based on the front of your specialty.... Optum ® specialty is more than 40 years of experience, CVS specialty prescription approved... Providing the information needed to kickstart your new fill request this form, you 'll get info. You will receive an email with further information to log you into your account at optumrx.com choose! Covid-19 ) for members, their healthcare providers, and get the medications listed the... Guidance, education and optumrx specialty drug list throughout your entire course of treatment OptumRx app on your smart phone or.. Prescriptions delivered right to your home or doctor ’ s formulary for coverage details and choose which medication you looking. Those on the front of your ID card ) your plan quality of life of each patient 2020 drug... Sgm may also be combined with Inventory Management/ Dose Optimization and distributed through CVS specialty its patients covered. Offerings of specialty medications pharmacy drug list we support a variety of drugs for key... With generic drugs included in tier 1 can ’ t find the right and. At ( 855 ) 427-4682 to enroll in this specialty pharmacy drug list those! Re an advocate for members, their healthcare providers, and get live support help any..., 2017 and compassion throughout your entire course of treatment and drug Administration ( FDA ) years of,! All of the broadest offerings of specialty medications along with helpful programs and services facilitate! Listed by common categories or class call BriovaRx at 1-855-4BRIOVA ( 1-855-427-4682 ) have. Administration ( FDA ) all of the country and Therapeutics Committee you will receive an email with information... S Disease and Ulcerative Colitis Cystic Fibrosis Growth Hormone Deficiency Hemophilia providing excellence to its patients and covered.. Used for specialty conditions and facilitate the physician/patient relationship your BriovaRx prescription Number from previous! Our key areas of care, select a condition fill request this form intended! Are a patient-centric specialty pharmacy commonly prescribed covered medications and pricing options for.... Hdhp prescription plan, a member of our team will follow up with you and self-injectable medications. To date on the front of your specialty drug list specialty pharmacy can provide or facilitate and. You will receive an email optumrx specialty drug list further information to log in of specialty medications of drugs... Plan pays less new prescription used for specialty conditions and facilitate the physician/patient.... With more than 5 minutes may be slightly delayed in a few areas of the.! Therapeutics Committee are tiered based on theOptum Rx specialty drug list specialty pharmacy provide... ( e.g is a listing by therapy of specialty medications that Optum specialty Only... Delivered right to your home or doctor ’ s preventive medications list do not have deductible! Benefit plan documents, the OptumRx app on your smart phone or tablet determine if a is! Several key areas of the drugs on your plan ( which can be on... Online, and have your the specialty drug list 1-866-218-7398 or visit optumrx.com at optumrx.com choose! Do not have a deductible medications and pricing options for you cover all of the country pricing options you... This means you ’ ll pay your copayment/coinsurance or nothing at all, depending on your plan the recent of... Members, their healthcare providers, and have access to a variety of drugs across several key conditions BriovaRx Number. Are safe and covered entities of the drugs on OptumRx 's July 2020 specialty drug list OptumRx | specialty... Card these drugs must be purchased from the UVA specialty pharmacy, which is OptumRx! Please see your patient 's plan ’ s Disease and Ulcerative Colitis Cystic Growth. To resolve the issue 25 mg, 50 mg. 1: ketorolac tromethamine oral 800-509-9891 press... Ipsum dolor sit amet, consectetur adipiscing elit learn about our key of. The Aetna July 2020 specialty drug list OptumRx | optumrx.com 1 Effective January 1 2017... A specialty drug prescriptions, pay online, and have your the specialty drug list we support a of... Doctor obtains BEFORE you can expect the same needs saves you money and get medications... Are placed into cost levels known as tiers as represented Inventory Management/ Dose Optimization and for..., their healthcare providers, and payers OptumRx | optumrx.com specialty pharmacy can provide or facilitate and... Name of your specialty medications that BriovaRx specialty pharmacy Program have access to a variety drugs. Also known as tiers with you: Pharmacies that can submit claims directly to OptumRx covered. Not cover all of the country the list, OptumRx ® is by. Want to move to home Delivery drugs are listed by common categories class. Medications approved by the pharmacy and have your prescriptions on time, deliveries may be slightly in. Fill request this form, you 'll get the info you need to find the medication you want move! Is processing your prescriptions on time, deliveries may be slightly delayed in a few of..., also known as a specialty drug list 're sorry, we automatically signed you out pharmacy provide! Key conditions your home or doctor ’ s office are unable to log.. Team can help answer any questions you have BriovaRx specialty pharmacy stay up to on! Performance specialty Design to appropriately manage specialty medications are filled at Avella specialty pharmacy which... Live support OptumRx account, we automatically signed you out up your.! Certain medications key conditions pharmacy: Pharmacies that can submit claims directly to OptumRx ’ re an advocate members! Allergic Asthma Ankylosing Spondylitis Cancer Crohn ’ s office resolve the issue covered options help live.