Specialty Pharmacies: What Gives?
If you have a chronic, rare or long-term illness that requires medication, you may be required to have certain prescriptions filled by a specific pharmacy network or a mail-order prescription program.
Medications that require special storage or handling, are given by injection or infusion, need to be taken on a strict schedule, or require close monitoring for side effects are typically filled by specialty pharmacies.
Specialty medicines cost more than more common medicines and often require prior authorization from the insurance company. With any prescription, you are required to pay the total amount owed prior to receiving the medication.
If you are required to use a specialty pharmacy, a billing coordinator will work with you and your providers to streamline the process.
