Specialty Drugs definition

Specialty Drugs means high-cost injectables, infused, oral, or inhaled Prescription Drugs for the ongoing treatment of a chronic condition, including but not limited to, the following: Hemophilia, Hepatitis C, Multiple Sclerosis, Rheumatoid Arthritis, Psoriasis, Crohn’s Disease, Cancer (oral medications), and Growth Hormones. These Prescription Drugs usually require specialized handling (such as refrigeration). Spouse means a person of the same or opposite sex who is legally married to Subscriber under the laws of the state or jurisdiction in which the marriage took place. A marriage legally entered into in another jurisdiction will be recognized as a marriage in the District of Columbia.

Split View

AI-Powered Contracts

Draft, Review & Redline at the Speed of AI

Get StartedSchedule a Demo

Specialty Drugs means drugs listed on the Approved Drug List meeting certain criteria, such as:

Specialty Drugs means high-cost prescription medications used to treat complex, chronic conditions including, but not limited to cancer, rheumatoid arthritis and multiple sclerosis. Specialty Drugs often require special handling (like refrigeration during shipping) and administration (such as injection or infusion). Please contact the Prescription Drug Plan Administrator to determine specific drug coverage.

Examples of Specialty Drugs in a sentence

• However, some Specialty Drugs have FDA approved dosing regimens exceeding the 30-day supply limits and may be allowed greater than a 30 day-supply, if allowed by your plan benefits.

• In order to receive maximum benefits you must obtain these Specialty Drugs through the Specialty Drug pharmacy.

• The Drug List which includes these Specialty Drugs is available by accessing the website at xxx.xxxxxx.xxx/xxxxxx/xxxxxxxxxxxx-xxxx-xxxx-xxxxxxxxxxx/xxxx-xxxxx or by contacting customer service at the toll-free number on Your identification card.

• A list identifying these Specialty Drugs is available by accessing the website at xxx.xxxxxx.xxx or by contacting Customer Service at the toll -free number on your Identification Card.

• Benefits will be provided for prescription drugs dispensed in the following quantities: S Retail Pharmacy and Specialty Pharmacy - Up to a 30 -day supply or 120 units (e.g. pills), whichever is less, for ”non -maintenance” and Specialty Drugs; S Mail -Order Pharmacy - Up to a 90 -day supply or 360 units (e.g. pills), which- ever is less, for nitroglycerin, natural thyroid products, and other drugs desig- nated by Blue Cross and Blue Shield as ”maintenance” Legend Drugs.

More Definitions of Specialty Drugs

Specialty Drugs means prescription drugs generally prescribed for use in limited patient populations or diseases. These drugs are typically in­ jected, but may also include high cost oral medications. In addition, patient support and/or education may be required for these drugs. The list of Special­ ty Drugs is subject to change. To determine which drugs are Specialty Drugs, you should contact your Pharmacy, refer to the Drug List by accessing the Web site at xxx.xxxxxx.xxx or call the Customer Service toll‐free number on your identification card.

Specialty Drugs mean those scientifically engineered Covered Medications deemed specialty by SOUTHERN SCRIPTS used to treat certain complex and rare medical conditions and are often self-injected or self-administered, which are set forth on Exhibit “B” and may be updated periodically by SOUTHERN SCRIPTS.

Specialty Drugs means Prescription Drugs generally prescribed for use in limited patient populations or diseases. These drugs are typically injected, but may also include drugs that are high cost oral medications and/or that have special storage requirements. In addition, patient support and/or education may be required for these drugs. The list of Specialty Drugs is subject to change. To determine which drugs are Specialty Drugs, a Covered Person should contact his/her Pharmacy, refer to the Drug List by accessing the website at www.bcbsil.com or contact customer service at 1-855-267-0214.

Specialty Drugs means a high cost prescription drug that meets any of the following criteria:

Specialty Drugs means those covered drugs that typically are high in cost and have one or more of the following characteristics: 1) complex therapy for complex disease; 2) specialized patient training and coordination of care (services, supplies, or devices) required prior to therapy initiation and/or during therapy; 3) unique patient compliance and safety monitoring requirements; 4) unique requirements for handling, shipping and storage; and 5) potential for significant waste due to the high cost of the drug. In addition, a follow-on-biologic or generic product will be considered a Specialty Drug if the innovator drug is a Specialty Drug.

Specialty Drugs means high-cost injectables, infused, oral or inhaled Prescription Drugs that:

Specialty Drugs means biotechnical drugs that are oral, injectable, infused or inhaled medications that are either self-administered or administered by a health care provider and used or obtained in either an outpatient or home setting.